Follicular Nodule FNA question

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Hi, I have recently been diagnosed with multinodular goiter, the largest nodule is solid and cold - 5cm x 2cm although it may have grown since the initial ultrasound, as I can definitely feel it more now, pressure in neck (especially when lying down), swallowing difficulties etc. Another is 3.8cm x 1.4cm and the rest around 2cm. I am not currently medicated and TSH fluctuates from around 1 to around 3, FT3 has only been checked once so far and was 4.8 (3.5-6.5) and FT4 was slightly high at 20.6 (9.8-18.8). Not sure why FT4 is high when FT3 is lower than mid range. 

The FNA off the biggest nodule came back as benign follicular nodule with copious thin colloid, haemosiderin-laden and foamy macrophages and hurthle cell change. Just wondering if anyone has any insight in this FNA, as I read some type of cancer can’t be diagnosed by FNA and this might include follicular nodules and hurthle cells? 

Thanks smile


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    Hi Andrea

    I think you are right,

    When I had my last FNA, the result was F3 so right in the middle, F1 being deffo benign & F5 deffo malignant.

    I was sent to ENT surgeon to have left lobe of thyroid & MNG removed. They also removed a lymph node. The largest nodule was sent for cytology & eventually came back Follicular Carcinoma of the Thyroid.

    I was told that the only way a definitive diagnosis could be made was by removing & studying the nodule.

    As to whether this applies to yourself, only your Endocrinologist can really explain. It may be that they will monitor more frequently.



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