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).
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!!
The Following User Says Thank You to khittle For This Useful Post: cls1 (10-26-2011)
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.
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
The Following User Says Thank You to Jamie09 For This Useful Post: cls1 (10-26-2011)