Follic lesions on thyroids I was recently diagnosed with 2 follicular lesions. One on each tyroid. One about 1cm in size and the other about 3cm in size. The first ENT (ears nose throat) dr said surgery but can wait. And get check ups. The second ENT sugge
Follicular . Follicular nodules that are read as indeterminate by the pathologist have an approximately 25% chance of being cancer, and surgical removal is the only sure way to find out if it is indeed a cancer. If you don't want surgery, then very careful follow-up with regular ultrasound exams to look for growth of the nodule or development of abnormal lymph nodes in the area would be an option, with the understanding that if the nodule did grow or abnormal lymph nodes developed then surgery would be necessary.
Follicular lesions. Needle biopsies of follicular thyroid lesions can not differentiate between benign and malignant tumors. If a follicular lesion is identified on fna (fine needle aspiration) then surgery is generally recommended to determine whether it is benign or malignant.
Options. 80-85% follicular nodules are benign. Options include repeat biopsy in 6-12 months especially if not conclusive biopsy, repeat ultrasound in 6-12 months with repeat biopsy or surgery if there is >2 mm enlargement, and affirma testing which helps, determine if benign or suspicious. If benign then only 5%cancer. If suspicious then surgery.