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  • MG or others who know about HURTHLE CELLS

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    Old 11-20-2008, 10:03 AM   #1
    osteoblast
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    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.

     
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    Old 11-20-2008, 10:06 AM   #2
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    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
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    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?...
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    Old 11-22-2008, 11:05 PM   #4
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    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.

    Fam

     
    Old 11-25-2008, 09:54 AM   #5
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    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.

     
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