Hurthle Cells on FNA, need 2nd opinion?

[Linda355]

Need a bit of help interpreting FNA results.

Samples from nodules on both sides were taken.

The solitary  left thyroid nodule has patterns of calcification on US.

pathology says:  There are benign follicular groups as well as Hurthle cells and colloid.  Hemosiderin laden macrophages are also present.

Right nodule was hypoechoic on US and there is also a small complex nodule and two smaller nodules on that side.

pathology on that side says:  There are hemosiderin laden macrophages as well as colloid and benign follicular groups.  Degenerated Hurthle cells are also present.


My question is about the Hurthle cells.  I can't find much information on them and am wondering if I need a second opinion.

Thanks

[redheadaussie]

It doesn't matter if it says benign, if the nodule contains at least 75% Hurthle cells the latest thinking is to err on the side of caution and take it out. The new classification of Hurthle cell adenoma is now labelled as a cancer. Even if it is still contained inside the nodule. If it has less than 75% cells in the nodule they will do a watchful wait and repeat biopsies in either 6 monthly or yearly intervals, depending on the doctor.

[Linda355]

I guess I should have clarified, the pathologist says  benign even though there are hurthle cells present.   No recommended course of treatment.

[redheadaussie]

Hi there. I had Hurthle's Cells (as it is spelled here in Australia!) some 3 years ago in my right side.
  There is no need for a second opinion, only if you are not happy in the treatment options.

Hurthle's Cells are formed by follicular cells which for some unknown reason change and start to produce a cancerous cell. Now don't freak out at that! Provided the HC are contained in a nodule then surgical removal is the best option.

It sounds that your thyroid has died off and is ready for surgical removal anyway.

I had a similar problem with thyroid and had it removed.
If you need more info, don't hesitate to ask!
Cheers!