Re: Hurthle Cell Lesion????

[Guest guest]

Hurthle cells are a red flag. They may or may not be cancerous. I do not have a lot of info on them, but I would be very aggressive about finding out whether or not they are cancerous. Hurthle cell cancer can be very nasty and aggressive. I do not think Hurthle cell cancer can be diagnosed from just an fna. You might need a more invasive kind of biopsy. You might also want to get a second opinion from someone at MD or other cancer center.

I would also note that your doc has run the obsolete thyroid panel. It would be a good idea to have the more accurate Free T3 (direct) and Free T4 (direct) along with the TSH.

>> I had a fna on June 5, 2006 and the results are (nodule is 1.25 cm): > Hurthle cell lesion-see comment.> > comment: few lymphoid cells noted, suggested lymphocytic > (Hashimoto's) thyroiditis. > > What are hurtle cell lesion and could this lead to cancer? > > My blood work:> > 1/31/06> > TSH .56 (.40-4.0)> Thyroxine Total 12.7 (5.0-10.8)> > 3/10/06> > Thyroxine Total 15.7 (5.0-10.8) > TSH .58 (.40-4.0)> T3 Resin Uptake 23 (27-39)> T3, Total 1.84 (.60-1.81)> FTI 3.6 (1.4-4.2)> > 6/5/06> > Thyroxine Total 17.2 (5.0-10.8)> TSH .21 (.40-4.0)> T3 Resin Uptake 27 (27-39)> FTI 4.6 (1.4-4.2)> > Any advice and comments are welcomed. On 12/13 I am to have blood > work and another ultrasound and the 1/8/08 I get my results and do > another fna. How often should I get a ultrasound and a fna?>

[Guest guest]

Hi Jan!

Thank you so much for answering my question. The reason I have been

bringing this up is because where my nodule is it hurts. I have been

having a hard time swallowing food, and pills. I am taking

Levothroid .125 mg since Sept. 06. My voice changes and becomes

hoarse and cough, and shortness of breath. I do have

asthma/allergies/high blood pressure/anxiety.

Thanks,

> >

> > I had a fna on June 5, 2006 and the results are (nodule is 1.25

cm):

> > Hurthle cell lesion-see comment.

> >

> > comment: few lymphoid cells noted, suggested lymphocytic

> > (Hashimoto's) thyroiditis.

> >

> > What are hurtle cell lesion and could this lead to cancer?

> >

> > My blood work:

> >

> > 1/31/06

> >

> > TSH .56 (.40-4.0)

> > Thyroxine Total 12.7 (5.0-10.8)

> >

> > 3/10/06

> >

> > Thyroxine Total 15.7 (5.0-10.8)

> > TSH .58 (.40-4.0)

> > T3 Resin Uptake 23 (27-39)

> > T3, Total 1.84 (.60-1.81)

> > FTI 3.6 (1.4-4.2)

> >

> > 6/5/06

> >

> > Thyroxine Total 17.2 (5.0-10.8)

> > TSH .21 (.40-4.0)

> > T3 Resin Uptake 27 (27-39)

> > FTI 4.6 (1.4-4.2)

> >

> > Any advice and comments are welcomed. On 12/13 I am to have blood

> > work and another ultrasound and the 1/8/08 I get my results and do

> > another fna. How often should I get a ultrasound and a fna?

> >

>

[Guest guest]

Difficulty swallowing, difficulty breathing and pain are all red flags. Make sure your doc knows about what is going on with you. If you are not satisfied with his answers, get a second, and maybe even a third opinion.

You probably need a total thyroidectomy, cancer or not. I would do it sooner rather than later and not fart around with repeated fnas and sonograms. That sucker can strangle you.

> > >> > > I had a fna on June 5, 2006 and the results are (nodule is 1.25 > cm):> > > Hurthle cell lesion-see comment.> > >> > > comment: few lymphoid cells noted, suggested lymphocytic> > > (Hashimoto's) thyroiditis.> > >> > > What are hurtle cell lesion and could this lead to cancer?> > >> > > My blood work:> > >> > > 1/31/06> > >> > > TSH .56 (.40-4.0)> > > Thyroxine Total 12.7 (5.0-10.8)> > >> > > 3/10/06> > >> > > Thyroxine Total 15.7 (5.0-10.8)> > > TSH .58 (.40-4.0)> > > T3 Resin Uptake 23 (27-39)> > > T3, Total 1.84 (.60-1.81)> > > FTI 3.6 (1.4-4.2)> > >> > > 6/5/06> > >> > > Thyroxine Total 17.2 (5.0-10.8)> > > TSH .21 (.40-4.0)> > > T3 Resin Uptake 27 (27-39)> > > FTI 4.6 (1.4-4.2)> > >> > > Any advice and comments are welcomed. On 12/13 I am to have blood> > > work and another ultrasound and the 1/8/08 I get my results and do> > > another fna. How often should I get a ultrasound and a fna?> > >> >>

[Guest guest]

- this is exactly what I experienced. I ended up having a partial thyroidectomy due to 2 large nodules on the left lobe. My tumors were noncancerous but very painful, hoarseness, etc. Sometimes I wonder if it would have been better if they had just taken the whole thyroid that maybe it would be easier to regulate.

Hi Jan!Thank you so much for answering my question. The reason I have beenbringing this up is because where my nodule is it hurts. I have been

having a hard time swallowing food, and pills. I am takingLevothroid .125 mg since Sept. 06. My voice changes and becomeshoarse and cough, and shortness of breath. I do haveasthma/allergies/high blood pressure/anxiety.

Thanks,

> >> > I had a fna on June 5, 2006 and the results are (nodule is 1.25cm):> > Hurthle cell lesion-see comment.> >> > comment: few lymphoid cells noted, suggested lymphocytic

> > (Hashimoto's) thyroiditis.> >> > What are hurtle cell lesion and could this lead to cancer?> >> > My blood work:> >> > 1/31/06> >

> > TSH .56 (.40-4.0)> > Thyroxine Total 12.7 (5.0-10.8)> >> > 3/10/06> >> > Thyroxine Total 15.7 (5.0-10.8)> > TSH .58 (.40-4.0)> > T3 Resin Uptake 23 (27-39)

> > T3, Total 1.84 (.60-1.81)> > FTI 3.6 (1.4-4.2)> >> > 6/5/06> >> > Thyroxine Total 17.2 (5.0-10.8)> > TSH .21 (.40-4.0)> > T3 Resin Uptake 27 (27-39)

> > FTI 4.6 (1.4-4.2)> >> > Any advice and comments are welcomed. On 12/13 I am to have blood> > work and another ultrasound and the 1/8/08 I get my results and do> > another fna. How often should I get a ultrasound and a fna?

> >>

[Guest guest]

Hi !!

Thank you so much for answering my question. My endo and I have

talked about surgery and he doesn't do a partial instead he will do a

total. I thought that was strange but maybe it is the way to go.

Thanks,

> > > >

> > > > I had a fna on June 5, 2006 and the results are (nodule is

1.25

> > cm):

> > > > Hurthle cell lesion-see comment.

> > > >

> > > > comment: few lymphoid cells noted, suggested lymphocytic

> > > > (Hashimoto's) thyroiditis.

> > > >

> > > > What are hurtle cell lesion and could this lead to cancer?

> > > >

> > > > My blood work:

> > > >

> > > > 1/31/06

> > > >

> > > > TSH .56 (.40-4.0)

> > > > Thyroxine Total 12.7 (5.0-10.8)

> > > >

> > > > 3/10/06

> > > >

> > > > Thyroxine Total 15.7 (5.0-10.8)

> > > > TSH .58 (.40-4.0)

> > > > T3 Resin Uptake 23 (27-39)

> > > > T3, Total 1.84 (.60-1.81)

> > > > FTI 3.6 (1.4-4.2)

> > > >

> > > > 6/5/06

> > > >

> > > > Thyroxine Total 17.2 (5.0-10.8)

> > > > TSH .21 (.40-4.0)

> > > > T3 Resin Uptake 27 (27-39)

> > > > FTI 4.6 (1.4-4.2)

> > > >

> > > > Any advice and comments are welcomed. On 12/13 I am to have

blood

> > > > work and another ultrasound and the 1/8/08 I get my results

and do

> > > > another fna. How often should I get a ultrasound and a fna?

> > > >

> > >

> >

> >

> >

> >

> >

> >

[Guest guest]

A total thyroidectomy is preferable. If you get a subtotal thyroidectomy and cancer is found, you will need a completion thyroidectomy which carries with it much greater risk for complications.

Hurthle cell and follicular are cancers that cannot be diagnosed on a frozen section, so you would not know for at least three days, possibly longer if they have to send the tissue out.

>> Hi !!> > Thank you so much for answering my question. My endo and I have > talked about surgery and he doesn't do a partial instead he will do a > total. I thought that was strange but maybe it is the way to go. > > Thanks,> >

[Guest guest]

I had a folicular variant of papillary cancer. My doctor did not do a

total thyroidectomy. I wish he had. He removed the lobe with the

nodule and had it checked by Mayo. It came back cancerous, so in less

than 10 days I had the second lobe removed. The first surgery had no

problems, but the second surgery has left me with nothing but problems.

Something happened with the second surgery that has left me with dry

mouth that I now have to take expensive medication for. Don't know what

happened, but I woke up in ICU with a burning tongue and dry mouth. The

tongue has gradually gotten a little better over the last 4 years, but

not the dry mouth.

I wish I had done my research before the surgery and found this site

then. I think I would have opted for TT the first time and picked a

different surgeon. So, my advice would be if you have to have it

removed and it looks like there is a chance for cancer, do the TT.

BTW, the nodule that I had was making it hard to swallow and became

uncomfortable, but not painful.

Pat

> >

> > Hi !!

> >

> > Thank you so much for answering my question. My endo and I have

> > talked about surgery and he doesn't do a partial instead he will do

a

> > total. I thought that was strange but maybe it is the way to go.

> >

> > Thanks,

> >

> >

>