Doctor insights on:
Treatment Of Hurthle Cell Metaplasia Thyroid
Left thyroid papillary carcinoma. Some follicular cells show hurthle cell/oncocytic changes. Is the treatment generally thyroidectomy & rad. Iodine?
Several clusters of bland-looking and mitotically inactive follicular cells with early Hurthle cell metaplasia are also present. Is it thyroid cancer?
No: Occassional bland cells and especially mitotially inactive follicular cells with some metaplasia usually spells benign lesion. Would be of value to know if the lesion is hot or cold. A hot lesion by definition is benign and a cold, non functional lesion is usually malignant. Lesion should be watched with a later date scan and possible reconsider bx for dx. ...Read more
I recently had a FNA of my thyroid nodule. The results showed "benign, hyperplastic nodule with extensive Hurthle cell metaplasia". Should I worry?
Needs surgery: See your doctor. You need a referral to a surgeon. Hurtle cell can be benign or malignant. It is impossible to tell whether it is benign or cancerous on a fine needle aspiration. You need surgery to remove that side of your thyroid in order to know100% if it is one or the other. ...Read more
Can the i-123 whole body scan tell also if thyroid cells (cancerous & noncancerous) will uptake the i-131 during the rai treatment? (pap thyroid cancer)
My fna of thyroid revealed groups of epithelial cells in macrofollicular patterns. Are these bad/pre-cancer cells? What should follow up treatment be?
Ask your doctor.: Epithelial cells in macrofollicular patterns are usually benign thyroid cells and are usually not associated with a premalignant or malignant process. This is good news. Ask the doctor who ordered the fna to help you interpret the report and to answer your questions. That person will be able to give you information in the context of your personal clinical setting. ...Read more
Hi, I'm 38 and male. I recently discovered that I might have Thalassaemi trait and undeactive thyroid. MCV 67.5 fL; MCH 22.1 pg; Red Cell Count 6.65 10/12L;RDW 17.2 %; TSH 11.26 mIU/L. I am also on Brintellix. What is the best treatment?
Thyroid replacement: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, You should consult the doctor who ordered the tests, as you have thyroid deficiency that needs to be corrected. Thalassemia minor is generally not an issue. ...Read more
What does benign follicular cells in mixed micro macrofollicular pattern, focal hurthle cell changes histiocytes mean? 3cm nodule on thyroid fast grow
Discuss: For a 3 CM fast growing thyroid mass, there is a higher chance of false negative with the biopsy. Not all the mass could be cancerous and the cancer spot could have been missed during fna because the mass is big at 3 cm. Most prudent step now is to follow for size changes and rebiopsy if it changes in 1 year. Depending on your age and current compressive symptoms, surgery is an option. ...Read more
Thyroid nodule came back negative but cells are suspicious for hurthle cell neoplasm. What does that mean?
Surgical biopsy: Hi. Going just on what you've told us, you probably need a surgical biopsy. A Hurthle cell neoplasm can be either benign or cancer, and the cytopathology often cannot make the distinction. Therefore, to exclude or confirm cancer will require a surgical biopsy. But I don't have the data. Your doc will tell you what's needed. Good luck! ...Read more
What is the optimal TSH for a 61 year old female who 16 years ago operated thyroid gland due to hurthle cell ca.? My TSH during all these 16 years (after the operation) was 0, 6 - 0, 4. But two months ago I changed the original swiss medicine eltr
As you know, TSH (thyroid stimulating hormone) is secreted by your pituitary gland to stimulate the synthesis and release of thyroid hormones from your thyroid gland (which has been removed, in your case). Since TSH can also stimulate the growth of thyroid cancer cells, one goal of therapy for thyroid cancer patients is to suppress their TSH to the lowest possible level while keeping their triiodothyronine level (t3) within a normal range. (many physicians strive for a TSH less than 0.1 as long as the patient's T3 (liothyronine) doesn't climb higher than normal). This usually requires a levothyroxine dose between 2.2 and 2.8 mcg per kg of body weight (about 170 to 220 mcg for a 172 lb individual).
I hope that helps! ...Read more
32 years old male. Thyroid Bilateral Multiple nodule, The largest size is 1.5*1.78*0.839 cm. Three times FNA. Result is No EVIDENCE OF MALIGANCY. Comment: Follicular cell, Hurthle cell and colloid are seen. I worry about the Hurthle cell. My Surgeons only
Thyroid nodules: Usually we worry about a solitary nodule in a male and it appears that you are in good hands and the biopsies are reassuring. For further reassurance we depend on a combination of an endocrinologist or thyroidologist and a surgeon skilled in thyroid surgery reviewing your findings and I would be quite comfortable with their advice and follow-up. ...Read more
1 CM solid node l thyroid lobe a mixed micro and macro- follicular lesion fna consists of follicular cells in small follicles microfollicles & small sheets displaying extensive hurthle cell changes?
Questioning need for surgery on lump in right thyroid that, after a fine needle aspiration, had the diagnosis of atypia of undetermined significance. Pathologists comments were: "Features suggestive of a Hurthle cell lesion with degenerative changes?
I have hyper thyroid. My weight is 42 kgs and I am 26 years old. I used to take neomercazole but my weight didn't increase. Plz suggest treatment?
See Dr. First, then:: If one is truly underweight (based on height, family background, and body type), a Dr. Can evaluate for a hormonal, digestive, or other disorder. If no medical cause is found, then one can add weight by eating more calories of nutritious foods, while also doing weight-training to increase muscle. Proteins: egg white, chicken breast, salmon, . .. Better fats: olive oil, peanuts, almonds, tofu, . ... ...Read more
I sweat when im not doing anything. I've got my thyroid checked twice and didn't need any treatment. What could be wrong with me?
Sweating out toxins: Fyi: admittedly, hyperhidrosis can really be a drag. On the other hand, it is better to sweat "too much" than "not enough, " because sweating (because it allows for the excretion of lipophilic, i.e., fat-loving, toxins) is one of the best ways to rid the body of toxins (detoxify). In addition to the skin, other organs of excretion include the gastrointestinal system, the kidneys, and the lungs. ...Read more
Yes: I would start first with your primary care physician. Usually a blood test is needed. If a true thyroid problem is found, your primary care physician can treat you or refer you to specialists as needed. ...Read more
Harmless curiosity: Maybe one esophagogastric-junction biopsy in four shows a few glands trying to make a teeny-weeny pancreas for you. The pathologist decided to mention it. It's of no concern whatever -- less of a danger than freckles. Best wishes. ...Read more
No: If it is radiation to the thyroid, it never becomes normal and need to have life long thyroid supplementation. ...Read more
Just a test: A thyroid uptake and scan is used to aid the differential diagnosis of newly diagnosed thyrotoxicosis and ideally should use i-123 as the radiopharmaceutical (low energy isotope for testing). If the test shows increased thyroid function such as in grave's disease or multi-nodular goiter i-131 can be use to ablate the thyroid gland if this is desire. ...Read more
Can take weeks: Depending on how hypothyroid you are, it may take several weeks to get back to normal. However, often people start feeling better within a few weeks of treatment. ...Read more
Sometimes: Discuss with your endocrinologist. Ask about a dietary plan, exercise plan. Also I would suggest a sleep log since good sleep is essential for recovery. Do you have other medical problems and medications which you take for those conditions. All of this needs to be taken into account. ...Read more
If I am on treatment of my thyroid, can I kiss or have smooch with my bf? Are there any side effects of it?
What is the treatment and long term prognosis of someone with a hyalinizing trabecular tumor of the thyroid?
HTT: Or hyalinizing trabecular tumor is a rare and controversial thyroid lesion as to whether it is benign or malignant. For the most part, it is believed to be a benign lesion with low likelihood for malignant potential and current recommendations is for a lobectomy and clinical follow-up and surveillance. ...Read more
Can u please tell me a little more about hyalinizing trabecular tumor of thyroid. What is treatment and prognosis?
Thyroid HTT: Hyalinizing trabeculer tumor (htt) of the thyroid is a fairly rare tumor, considered by most to be benign, with an excellent prognosis. See http://www. Ncbi. Nlm. Nih. Gov/pubmed/18813121. Usually surgical treatment is definitive. ...Read more
All my Symptoms on here are currant!! thyroid blood test came back 1.39 is this normal?? And what could be wrong with me?? And what tests/treatment??
More details: There are a lot of thyroid tests. What is the 1.39 for? TSH? What units? ...Read more
I have two thyroid nodgules 1.9cm and 2.1cm I have had nuclear scan and biopsy both came back noncancerous. What would be next treatment if get bigge?
If they grow: Hi. If the nodules get bigger, they should be needle biopsied again. Even if they stay the same size, some people would routinely biopsy again in a year or so. But grown is a definite need to re-biopsy. Good luck! ...Read more
Surgery: A surgery named total thyroidectomy is the mainstay of therapy for thyroid cancer. This may be done with or without a central neck dissection depending on your particular surgeon's prefrences and how aggressive your particular thyroid cancer may be. After surgery depending on multiple factors you may or may not receive radioactive iodine ablation. ...Read more
Surgery: Thyroid cancer is treated surgically by removal of all the thyroid or a portion of the thyroid. After surgery, patients at higher risk of recurrence or with more aggressive cancers may be treated with radioactive iodine. Rarely, external radiation or chemotherapy is added in very severe cases. ...Read more
Can P.O.T.S. Be a 'side effect' of Thyroid issues such as hashimoto? Would treatment be the same? Modified lifestyle and meds? Of diff cause diff fix?
You offer so many unrelated issues (not your fault) but your doctor (s) don't seem to care. Ask around your friends who might have better doctors to look after you.
Please keep me posted. ...Read more