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Old 08-22-2011, 07:24 PM   #1
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FNA results - benign but some Hurthle Cells

My FNA results are the following:

Examination of the fine needle aspiration slides shows a relatively cellular specimen composed mostly by follicular cells, a few Hurthle cells, and thick colloid in the background. These changes are suggestive of thyroid nodule (nodular goiter).

Diagnosis
Right thyroid nodule, FNA: Benign thyroid nodule (nodular goter)

I have read conflicting things about the prescence of Hurthle cells. I see the word "few" but was wondering what others have been told and had done when they have the prescence of Hurthle cells.

Any other comments on the results would be appreciated as well Thanks!!

 
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Old 10-25-2011, 01:47 PM   #2
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Re: FNA results - benign but some Hurthle Cells

I am wondering the exact same thing! My tests are identical to yours. If anyone has some answers, that would be great!

 
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Old 10-26-2011, 09:16 AM   #3
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Re: FNA results - benign but some Hurthle Cells

Is the Hurthle Cell Tumor Benign or Malignant?
Like follicular tumors, there are benign Hurthle cell tumors and malignant Hurthle cell tumors, and the pathologist tells the difference between them based on invasion of the capsule and the blood vessels.† Benign Hurthle cell tumors are not a threat at all and should not come back once they are removed.

 
Old 10-26-2011, 10:00 AM   #4
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Re: FNA results - benign but some Hurthle Cells

Should they be removed. The Endo said it wasn't necessary and retest in a year?

Any thoughts?

 
Old 10-26-2011, 10:03 AM   #5
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Re: FNA results - benign but some Hurthle Cells

hurthle cells are always suspicious, they can't tell unless they remove the thyroid and slice it up

 
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Old 10-26-2011, 10:13 AM   #6
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Re: FNA results - benign but some Hurthle Cells

I personally wouldn't be happy with re-testing in a year but that's your call. It's a rare thyroid cancer making up about 4% of all thyroid malignancies, the sooner it's caught the easier to treat

 
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Old 10-26-2011, 10:24 AM   #7
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Re: FNA results - benign but some Hurthle Cells

My nodule is now 3.6cm ill defined solid hypoechoic heterogenus. There is a new 2cm hypoechoic ill defined heterogenus nodule on other lobe.

Fna report says benign on both nodules. here is what is said follicular cells, hurthle cells, coloid, lymphocytes, neutrophils, erythrocytes.

That's it? It doesn't seem very informative.

What would you do? I am going to see a ENT next week, for a second oppinion. I have only seen an endo, so I thought this would be a good next step.

Any thoughts?

 
Old 10-26-2011, 10:40 AM   #8
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Re: FNA results - benign but some Hurthle Cells

Hurthle Cells have the potential to become malignant and that's why your endo is doing the watch and wait, my concern would be 12 month is quite a long time to watch and wait, if that's what your happy with then suggest 3 month and re-biospy.

I think your doing the correct thing in getting a second opinion but the only 100% proof to confirm malignancies would be to remove it, this should be done with ANY abnormal cells which it seems you have

 
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Old 10-26-2011, 12:24 PM   #9
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Re: FNA results - benign but some Hurthle Cells

Thanks for your input. I really appreciate it.

 
Old 10-26-2011, 12:29 PM   #10
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Unhappy Re: FNA results - benign but some Hurthle Cells

No problems, keep us informed of your progress, we've all been where you are at right now and understand it's an anxious time

 
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