<IMG SRC="http://www.healthboards.com/ubb/wave.gif"> Hey everyone! Hope everybody is doing good. I have a question regarding my FNA results. I was told by my endo that "there were no cancer cells" in my biopsy. I have been back and forth with him. He has done multiple tests which I will include the results with the ranges: TSH .41 up from .22 last time around (.35-5.5); T4 free direct 1.35 (0.61-1.76); Triiodothyronine,free serum 3.8 (2.3-4.2); Testosterone free weakly bound 23.5 (4.2-16.2);DHEA 149 (32-240) FSH 55.6 (5.0-52.3)-- WHEW!!!
Ok now, back to the FNA------> it took me 3 weeks to get the report-- I talked to him in great length and he has told me that my thyroid is "mildly hyperactive" multinodular and that there were no cancer cells. I asked him to see the report and then we got onto another subject and I left to go check out. I then remembered that I did not get to see the FNA report and asked the nurse for a copy. When she got it for me it read--------CYTOLOGICAL INTERPRETATION:
"THIS SPECIMEN IS UNSATISFACTORY FOR EVALUATION SECONDARY TO PACUCICELLULARITY"
"THE ASPIRATE CONTAINS ONLY A RARE BENIGN CLUSTER OF FOLLICULAR CELLS. NO COLLOID OR MACROPHAGES THAT WOULD INDICATE THE PRESCENCE OF A COLLOID NODULE OR BENIGN CYSTS ARE SEEN"
REPEAT FNA AS CLINICALLY INDICATED
Ok, to me this sounds like they were not able to determine "cancer" at all! when I read this, I demanded to see him to explain, the nurse said that he is in with another patient now and I would have to make another appt with him.I asked that he could call me at home and she said that she would give him the message, but he has not called. Can anyone shed some light on this for me?
I also had a nuclear stress test done and he said that my heart was fine. I asked to have that report as well and he did not have that one with him ????? said that it was at his other office???? Why would it not be in my file???? I am so $#@^#@!^% confused!! His final "diagnosis" for me is Mild hyperthyroidism that we will just "watch" and menopause (I had a complete hysterectomy at 22, I am now 41)!!!!! SOMEBODY OUT THERE HELP ME TO UNDERSTAND!!! OH yea, I know you all will get a kick out of this one! - I did ask him with my TSH being low if I would "feel" the same as if my TSH were at 2.5 he told me "probably" --- so once again--- COnFuSeD! (I think I will change my name to that!) He told me that there was no "LOGICAL" explaination for my symptoms and suggested that I see a psychiatrist !!! (My husband said that I should go to a psychiatrist too not because he thinks Im depressed, Which I am not, but maybe the psyche can diagnose the thyroid problem!! <IMG SRC="http://www.healthboards.com/ubb/biggrin.gif"> toooo funny)
well guys and gals, I appreciate the sounding board! I know that I can always come here and "release" and I love you all for it!
As always take care,God Bless and live well
confused Angel!! <IMG SRC="http://www.healthboards.com/ubb/angel.gif">
[This message has been edited by angel1 (edited 05-24-2002).]
[This message has been edited by angel1 (edited 05-24-2002).]<p>[This message has been edited by angel1 (edited 05-25-2002).]
I certainly don't think you are crazy, or somatic.
I wish they would not make those remarks.
However, in medicine it is known that most illness is brought on by stressing. It is important to relax over this stuff. Hormones are not easy to DX or treat. It is trial basis, really. There are no set rules for you or for me.
About feeling the same at TSH .41 and 2. something, you MIGHT feel the same. There is no way to measure that. We are all different.
I agree with his assessment, really, of no cancer.
BENIGN means no cancer.
The result wouldn't read the same as me talking to you.
It is written in medicalese! <IMG SRC="http://www.healthboards.com/ubb/smile.gif">
You do seem mildly hyper, and all they do is watch that by retesting every so often.
As for the menopause, you went into it when you had the hysterectomy. Even if you have been on hormones, which you certainly should have been, your hormone needs can change. You may need more or a different type now. My female hormones crashed, and I was on a highest dose. I am now trying a different brand.
So far so good.
I can't stress enough that you have to make yourself relax. It can take years to iron this stuff out, unfortunately.
There are many ways to help ourselves. Some is on the Information Archive Thread, and much is found in The Thyroid Solution by Dr. Arem.
Keep us informed how you are doing, and feel free to rant. We understand! <IMG SRC="http://www.healthboards.com/ubb/smile.gif">
<p>[This message has been edited by Tree Frog (edited 05-24-2002).]
<IMG SRC="http://www.healthboards.com/ubb/wave.gif"> Tree Frog!
Thanks for the reply! I am still really confused though! I can understand the "waiting" on the mildly hyperactive. I do not understand why the FNA reports that this test is "unsatisfactory" and that repeat FNA would be advisable- I believe but may be wrong about "paucicellularity" probably means "not enough cells" just a hunch though ! What would "RARE" benign clusters mean?? Rare? I am rare that is true!! <IMG SRC="http://www.healthboards.com/ubb/biggrin.gif"> This just does not convince me that the test was accurate it just tells me that there is a benign cluster but not enough cells to make an accurate assumption that there is nothing else going on there?
Theory on the TSH thing :
If my TSH is running .42 (for me) and I am experiencing signs of HYPERTHYROIDISM, and TSH is the "primary" hormone to check - then wouldn't I be experiencing either Improved health or HYPO symptoms- at a TSH level of 2.00+? I understand that everyone's level is different for them. My conclusion in theory only is that although .42 may be considered in the normal range... (it is also NORMAL to be $5000.00+ in debt these days however it is not OPTIMAL) I have to believe that I would in some way feel different - Either Better or Worse! Any opinions are welcomed!
As for the "being relaxed" I totally agree with you! If we are already suffering from a disease, (any disease whether it be Thyroid or something else, then STRESSING only makes it magnify!! It is so important to take "control" and relax as much as possible. Thanks for being there, and as always;
Peace, Love and good Health to all
Angel <IMG SRC="http://www.healthboards.com/ubb/angel.gif">
Thought I's post to say I hear you!! I , like you have similar TSH and am on a wait and see. To date I have not been diagnosed(see my post More Results). I have an Internist appt June 20. I know how frustrated and confused you are feeling. I'm at the point of saying to my doc, if you can't say it's 100% not cancer, then yank out my thyroid.
I know it's scarry, but I'm beginning to hope that maybe...just maybe, my doctors are wanting to be thorough and not jump the gun.
Hang in there.....sorta walking in your shoes.
If I was you I would TELL you Dr, that you want the FNA done again. This is you body and only you can push this. If it happen to be cancer it is better to catch it early. I had mine done and my Dr. took 4 at the time thank God it was enough It came back not 100% But when I went in for surgery the did the frozen Biopsy with half and it came back almost 100% for papillary cancer so they took it all. path report came back 100%. Wow glads thats over.I am still in need of RAI and will get that June 19th CAN"T WAIT to get this over <IMG SRC="http://www.healthboards.com/ubb/smile.gif"> you are in my prayer.. God Bless Marcia
I agree, if you are not sure the test was conclusive, tell your doctor you want conclusive results only.
They see too many patients and they sometimes miss things.
What I am saying is, even though someone else may feel different between the TSH's you mentioned, not everyone will. It may not be enough different for YOU.
Or it may be that not enough time has passed for the symptoms to change.
<p>[This message has been edited by Tree Frog (edited 05-28-2002).]