Are my lab test results indicative of cancer or Hashimoto's disease?
Backgrund echotexture is normal my left thyroid lobe on US says slightly heterogeneous solid nodule involving most of the left lobe of thyroid and center at the mid pole. it measures 3.8 x 2.2 c 1.4
isthmus has no discrete nodules
impression: 3.8 cm solid mass in left lobe of thyroid. recommend firther evaluation with fine needle aspiration biopsy.
I had FNA yesterday so waiting on results etc. My thyroid is very tender when i touch it on outside while swallowing and doctor told me because of this the FNA will be more uncomfortable. Which it was. how are the odds that this is cancer or possibly Hashimotos?
yes cancer is possible
Thanks for your query.
Since it is a relatively large solid mass, cancer is a possibility. Fnac should be able to rule it out. Even if it is cancer, surgery should be able to cure it.
On the other hand as it is very tender, it can be some sort of thyroiditis also. But hashimoto usually doesn't present as one sided solid mass. It is more diffuse.
Hope this helps. I will be available for follow up.
I am freaking out and just want to get this thyroid removed asap.
BENIGN THRYOID NODULE WITH MULTINUCLEATED GIANT CELLS (BETHESADA CATEGORY 11)
Comments: Microscopic differential consideration includes GRANULOMATOUS (SUBCUTE) THYRODITIS. Recommend clincial correlation and follow up as appropiate. Microscopy reveals low cellularity composed of limited benign appearing follicular cells with multincleated giant cells, epitheloid histiocytes and lymphocytes in the background.
colloid: dmall amount
Folliclar cells: Benign appearing follicular cells in varying proportion without signifcant nuclear overlapping or atypic. Mutinucleated giant cells, epitheloid histiocytes and lymphocytes are present
Hurthe cells: Present, few
Risk of malignacy in this diagnostic catergory are 0-3%
So I am gathering that thsi is what caused my solid 3.8cm nodule. and after inflamation is controlled will it shrink? Should I still be concerned that it could be cancer?
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