Thyroid Nodule - FNA biopsy results Goiter

[Alexis8368]

Hello:

41 yo female, all thyroid related blood work within the normal range (but on the low end of the normal).
Squeezing sensation in my neck prompted a thyroid ultrasound, which found 2 small nodules and one 1.2 cm nodule that required an FNA.

I had an FNA of the 1.2cm nodule on 6/28/10, below are the results:

Negative for malignant cells, favor nodular goiter.
The slides show benign appearing clusters of follocular cells together with abundant colloid. Although the appearance would be consistant with nodular goiter, clinical/radiologic correlation is recommended.

I have not spoken with the doctor yet.

My questions are:
1) What type of specialist should I follow up with?
2) What is the usual course of action based on the above diagnosis?

Thank you~

[MANmom]

I had roughly the same diagnosis..."benign follicular clusters"...I had 1/2 removed because of hoarseness, then I got a cancer diagnosis...Since the cells are clustering, you should ask your doctor if that is a concern, he may want to give you a radioactive iodine test to check for thyroid function...hot or cold is the term.  By the way, I, too had normal thyroid function, except for my TPO ab, that indicated Hashi's.  The thyroid is a strange gland!

[Alexis8368]

Thanks for the information.

I havent started the synthroid yet.. still waiting to talk to my doctor (pcp) about the dose.
Originally, on the phone the other night- I thought he said 125mg., but when I researched that- I see that is a high dose to start with. He will be back in the office next week and we will discuss it then. My pcp was hoping that the endo would concur with his idea of me going on the meds, but since my endo said no- perhaps my pcp will want a 2nd opinion before starting me on meds.I am lucky, because this was caught very early and the goiter is still very small- I would like to keep it that way!

[898_1]

In theory, the means which can reduce TSH level below 1.0 (including Metformin for insulin resistant patients with elevated thyroid antibodies) are expected to stabilize the size of the benign nodules (unless they are composed of scar tissue).
However the individula results ary vary, and therefore doctors have different opinion.
You may want to get another opinion especial about the dose.

[Alexis8368]

Hello :

Thanks for the reply

My PCP wants to treat with Synthroid, 125 mg. per day.
My endo just had his office call me and tell me to follow up in 6 months, no meds. So far, my blood work has been normal, but in the low end of the normal range. My sister has Hashimotos and is being treated for it. I have many of the Hashi symptoms.
I really didnt like my visit with the Endo to begin with, he outright told me that based on my blood work I do not have a thyroid condition, but he would send me for the FNA biopsy of the nodule to r/o cancer.
My PCP seems to think it is better to get me on meds to avoid the goiter growing, or to at least slow the growth.
I found this out all because I was having this pulsing/squeezing sensation in my neck and insisted on a thryoid ultrasound, which found the nodules.

My question is: Is taking Synthroid 125mg. a viable treatment option for this? I would really LOVE to feel normal again!

Thank you~

[898_1]

Observation and possibly TSH suppression (the nodule will have less chance to grow if TSH is less then 1.0)