Endocrinology Questions? Ask an Endicrinologist for Answers ASAP
I have a 1.8cm well differentiated single nodule/thyroid. So far I have had 1 ultrasound which identified the nodule and 1 ultrasound with FNA. The FNA as expected resulted in an inconclusive report, these FNA methods are so flawed they are futile in many cases. When I went to the appointment with ENT to discuss the above results, immediately he insisted on the removal of the nodule with operation! and wanted to rush me in in only 12 days?? I queried this and asked was there any evidence in the results that suggest cancer? to this he replied " thats the problem" we do not know unless we operate then send for pathology. After much research i have found that over 50% of the population have a thyroid nodule and that of those 95% are benign!! im flabbergasted that a professional would want to deem it necessary to preform a removal of a major gland given the " no evidence of cancer results" your sound advice please?
Thank you for your question.
I will be helping you out with your concerns.
I understand that you are in a lot of anxiety because of this nodule and I would have felt the same way if I were you.
FNAc test, especially of the thyroid nodule can be quite frustrating because quite often its inconclusive.
I agree that in the vast majority of cases the thyroid nodule is benign.
I would have also done a thyroid scan done before deciding on surgery.
If the thyroid scan demonstrates a 'cold' nodule then I would have proceeded with removing the nodule.
The FNAc results are often inconclusive because the cells of follicular adenoma and follicular carcinoma appear the same and since capsule invasion cannot be seen on FNAc alone we have to have the nodule removed as a whole to see if there is capsule invasion going on. Its only when capsular invasion is seen on microscope is cancer is declared and that cannot be conclusively decided without removing the whole of the nodule.
Let me know if you have more questions.
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I have answered your question above. Let me know if you have any further questions. Rate me for my services when you are done.Kindest Regards