Dear Dr. Lupo,
as per your suggestion I sent my FNA slides to Johns Hopkins for a second opinion. My local hospital recommends that I remove the thyroid based on some observations of nuclear grooves and inclusions.
However the John Hopkins report recommends that I repeat FNA in 3 month.
Here is the Johns Hopkins report:
Final Diagnosis: Atypical Cells of Undetermined Significance (see note)
Adequacy: Adequate
Note: Focal intranuclear pseudoinclusions are present.
Recommend (if clinically indicated): Repeat FNA in 3 month.
Which one is more likely accurate? The second report does not mention the presence of nuclear grooves.
My endo insists that I should remove the thyroid ASAP. Do you think it is better to follow the Johns Hopkins advice or the take my thyroid out? I do not have any symptoms and normal thyroid hormones.
Thank you