It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Thyroid Disorders Message Board

  • MG or others who know about HURTHLE CELLS

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 11-20-2008, 10:03 AM   #1
    Senior Veteran
    osteoblast's Avatar
    Join Date: Oct 2006
    Location: u.s.
    Posts: 1,679
    osteoblast HB User
    MG or others who know about HURTHLE CELLS

    My biopsy showed hurthle cells. My questions is whether the normal thyroid has hurthle cells? I am somewhat confused by what I have read. Does the mere presence of hurthle cells mean something? I really couldn't find anything in my research. When I got my path report and my endo sent me on to a surgeon and thyroid cancer specialist I didn't question about the path report. I just proceeded to the thyroid cancer specialist who said it was up to me whether I wanted to go to surgery then or wait and watch. Also I consulted with a surgeon who was adamant about just a partial so we focussed on why she didn't want to do a TT. I decided to go to Mayo in Jan. to meet with a top endo and have surgery there if warranted.
    Now I am wondering about hurthle cells. Can anyone tell me if everyone has hurthle cells in thyroid?
    I believe Reece has said if encapsulated that is where the trouble lies.

    Sponsors Lightbulb
    Old 11-20-2008, 10:06 AM   #2
    Senior Veteran
    rosequartz's Avatar
    Join Date: Jul 2005
    Location: Chicago,IL
    Posts: 11,276
    rosequartz HB Userrosequartz HB Userrosequartz HB Userrosequartz HB Userrosequartz HB Userrosequartz HB Userrosequartz HB Userrosequartz HB Userrosequartz HB Userrosequartz HB Userrosequartz HB User
    Re: MG or others who know about HURTHLE CELLS

    Hurthle cells in the FNA usually always call for removal of the thyroid, or at least 1/2 of it. Hurthle cells are suspicious, and there is no way to tell if they are cancerous until the thyroid is taken up and sliced up under scrutiny and close examination. I had hurtle cells in my thyroid, had 1/2 out. when they biopsied it on the slab, they said it was benign......a good thing, but it still needed to come out. I'd err on the side of caution, get it out.

    Old 11-20-2008, 03:03 PM   #3
    Senior Veteran
    kindspirit's Avatar
    Join Date: Mar 2006
    Location: usa
    Posts: 594
    kindspirit HB Userkindspirit HB User
    Re: MG or others who know about HURTHLE CELLS

    I've replied to your other post re; my situation: I too, have "hurthle cells" from my biopsy. Three endo's agreed I don't need surgery. I've questioned them endlessly after much research. They sd they've had patients with hurthle cells that are big red flags and do need surgery, mine are typical of Hashimotos'. I sd "then why don't all hashi people get them?", no good reason. From what I've read the number of hurthle cells more than 75%, nuclei, displasia etc are "flags", atypia etc Mine were metaplasia with clusters of reactive follicular cells. They took 7 smears and no maligant cells.
    Also, other organs can contain hurthle cells and not be malignant. For me, since I don't have nodules now, did, but not now? will continue to follow up with ultrasounds. If I had nodules, especially over 1cm, I would most definately go for removal. In my case the 1cm nodule went away by the time I got a 2nd opinion, so if it was cancer the nodule wouldn't go away? So, looks like yes, hurthle cells aren't always cancer, atleast for me right now? I know, this hurthle cell thing is very confusing and not just to us, doctors don't seem very informed. I wonder if many more people do actually have these cells, but haven't had a biopsy yet? my first endo refused an ultrasound, saying he couldn't feel any nodules. If I had stayed with him, I would not know I had hurthle cells?...
    Hashi's / Hypo Jan 2008
    C 5-6-7 fusion
    L-5 s1, discectomy, ddd, o/a, scoliosis

    Old 11-22-2008, 11:05 PM   #4
    Senior Veteran
    famnd's Avatar
    Join Date: Mar 2007
    Location: us
    Posts: 1,693
    famnd HB User
    Re: MG or others who know about HURTHLE CELLS

    Here's what I have found out. The two main types of thyroid tissue are follicular cells & parathyroid or something like that. Hurthle cells are a type of follicular cell.

    It seems when it starts growing & invading then it becomes a cancerous hurthle cell. My youngest daughter had follicular cells in her biopsy which was considered benign by the pathologic.


    Old 11-25-2008, 09:54 AM   #5
    Senior Veteran
    osteoblast's Avatar
    Join Date: Oct 2006
    Location: u.s.
    Posts: 1,679
    osteoblast HB User
    Re: MG or others who know about HURTHLE CELLS

    Rosequartz,famnd and kindspirit-Thank you for the information. I am still a bit unclear.I really can't determine whether the healthy thyroid has hurthle cells or not..... And, from what I read it seems that hashi's can cause hurthle cells. And, that hurthle cells can be benign or malignant . Apparently they cannot know this though from a FNA. But, I have read 3 things that are troubling to me-
    1---it is difficult to distinguish benign from malignant hurthle cells even when they have taken the lobe or total thyroid out
    2---that benign hurthle cells may later become malignant
    3--- and , what to do about hurthle cells , whether to do partial or total thyroidectomy , is a controversial topic among the experts
    My points 1-3 are just what I have interpreted from what I read, and I could have interpreted incorrectly ...
    So, where does that leave those of us who have had hurthle cells found in a FNA?? I do not know. In January I see another thyroid cancer expert ( an endo) and will let you folks know what I find out.
    MG-----If you see this could you offer your 2 cents?

    Last edited by osteoblast; 11-25-2008 at 06:22 PM.

    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Do benign hurthle cells turn into maligent cells? shaggy1 Thyroid Disorders 1 02-24-2009 03:39 PM
    Hurthle Cell Carcinoma - Need support to beat it! barbara1305 Thyroid Disorders 5 06-10-2008 01:52 PM
    Mocha232....question On Hurthle Cells!! Jenny C. Thyroid Disorders 11 10-04-2007 12:49 PM
    hurthle cell cancer alan47 Rare Disorders 72 07-12-2007 08:06 AM
    Question about Hurthle Cells SHMILY Thyroid Disorders 2 02-14-2007 12:45 AM
    Hurthle cell neoplasm and surgery salpatel Thyroid Disorders 7 12-18-2006 09:01 AM
    Are Hurthle Cells bad? njthyroid Thyroid Disorders 7 03-18-2006 11:27 AM
    HURTHLE CELLS...need help w/interpretation! rhyanenrose Thyroid Disorders 5 05-26-2004 09:59 AM

    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off

    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 01:00 PM.

    © 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!