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What Is A Thyroid Follicular Lesion
Follicular cancer: Follicular thyroid cancer the second most common cancer, after papillary. A thyroid nodule over 2.0 cm, positive/suspicious fna or symptoms are indications for thyroid lobe resection. Final pathology is often where a cancer diagnosis is made. Follicular thyroid cancer is treatable and has a good prognosis. So yes, it can turn into cancer, you need to be monitored closely. Okay to see surgeon. ...Read more
Yes: Maybe the actually diagnosis is "follicular lesions of undetermined significance", which is a very common diagnosis using the new bethesda system. If i had one of these in my neck, i'd be really eager to have it out, but there are variables and your physicain will talk with you about this. ...Read more
Two thyroid fnas with the result being "follicular lesion of undetermined significance". What should the next step be?
Gene profiling..: For FLUS diagnoses, the current recommendation is to perform molecular analysis of cells removed at the time of FNA; there are two tests, Afirma by Veracyte, and the other test by Asuragen. These are expensive tests, make sure the insurance company covers it. Some endocrinologists do only one or the other test. Please check with your endo. ...Read moreSee 1 more doctor answer
I had two thyroid fnas done three weeks apart and both say "follicular lesion of undetermined significance". What happens next? Why did i get that?
Indeterminate nodule: There is a standardized reporting system (bethesda) for thyroid fnas. 5 categories (benign, atypia of undetermined significance, neoplasm, suspicious for malignancy, malignant). Your result is in the second category. Studies place the probability of malignancy for your result at 5-20%. There are labs (afirma) that do gene expression testing on these samples to better define the risk of cancer. ...Read moreSee 1 more doctor answer
Does mild intrinsic vascularity mean anything on a solid micro follicular thyroid lesion which is circumscribed and heterogeneous?
Possibly: I want to clarify your description. You wrote a micro follicular lesion.This is an older pathology dx. Was this biopsied or is this a micronodule (<1 cm). Well circumscribed is good.Heterogeneous nod need to know the character of the solid part.After the other info, increased blood flow is a risk factor cancer (but now considered a minor factor). Thyroid func is key here. W/more info FNA or not ...Read more
What exactly does the terms circumscribed and heterogeneous actually mean relating to a solid thyroid micro follicular lesion. Flus on biopsy. ?
Good signs: Circumscribed lesion on thyroid ultrasound means that the lesson is encapsulated and that this is a good sign . Heterogenous mean that the lesion has various areas of increased and decreased density and that is also a good sign . however follicular lesions are indeterminant and could be malignant . ...Read more
Thyroid follicular lesion 2.4cm solid circumscribed with mild vascularity.Thyroseq pending Can this test show a definite benign? what's circumscribed
My thyroid report came as follicular lesion of undetermined significance and follicular lesion cannot be excluded doc said to do the surgery Advice pz?
Follow advice: since the lesion is of undetermined significance, it must be biopsied or removed. ...Read more
Is surgery recommended if thyroid fna results are follicular lesion of undetermined significance? Should I get second fna?
Yes: A follicular lesion identified on fine needle aspiration generally does warrant a thyroid lobectomy because a follicular cancer can not be ruled out. The architecture of the tissue is necessary to distinguish a benign from a malignant follicular lesion, and this can not be obtained with an fna. Repeat fna will not help. ...Read moreSee 2 more doctor answers
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