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Thyroid Disorders Message Board
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Old 09-11-2012, 11:15 AM   #1
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In March I was told that I had 4 nodules on the left lobe (2.1 cm, 1.2 cm, .5cm and .4cm) along with 2 nodules on the right (1.4 cm w/calcifications and 1.0cm). An unrelated CT scan revealed a large fluid filled cyst in the left lobe as well. All blood tests came back normal. I went to my first Endo the end of April. He ordered a FNA of the nodule with calcifications only. The results were:

Benign Follicular cells, hurthle cells, macrophages, colloid and blood. Consistant with goitrous nodule.

The phone call to me said nothing to worry about.....

In the meantime I have met with another Endo (I wasn't a fan of the other, he seemed to be in a rush and I couldn't understand him quite clearly). This Endo wants to remove the entire thyroid due to the size of the nodules and the fact that I have them on both sides. He also mentioned not liking the hurthle cells in the FNA. I am scheduled for surgery 9/27...

Any advice? What exactly does the FNA results mean? Reading all the information online can be somewhat overwhelming so I decided to join this message board in hopes of understanding better...

 
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Old 09-11-2012, 02:53 PM   #2
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There was some good news, and less than good news in your fna---"colloid" usually indicates benign, but hurthle cells can be a red flag.

I don't know how large your thyroid/goiter is, but you have a "multinodular goiter with a dominant nodule" in which case most doctors would want to remove it because that's a red flag as well.

This is likely benign, but your nodules are growing quite large. I think you should go to a teaching/university hospital, and talk to an ENT/ontorongology surgeon who can help you decide whether or not to remove this. The only real way to be sure all is benign, unfortunately, is removal.

 
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Old 09-12-2012, 08:48 AM   #3
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Reece,

Thank you for your reply. The measurements that were taken back in April were:
Rt Lobe 4.0 x 1.9 x 1.4 cm
Lt Lobe 4.1 x 1.9 x 1.8
Isthmus .2 cm

I have met with my surgeon and am scheduled for a complete thyroid removal 9/27/12.

 
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