
I Ahd My FNAC Of Neck --it Shows TIRADS 3

Impression : Atypia of undetermined significance, differential diagnosis, hasimotos thyroiditis, Follicular neoplasm, hurthle cel type..
Note:Occasional cells show nuclear atypia( high NC ratio with irregular nuclear membrane, nuclear inclusions and nuclear groves.
long standing pathology altering normal physiology, need further details.
Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query with attached reports and here is my advise.
* As per my surgical experience, the issue of thyroid homogenous
enlargement both sides with chronic thyroiditis and FNAC changes indicate
long standing pathology altering the normal physiology pattern.
As any report evaluation is incomplete without symptomatic details, kindly provide me further details so that I can answer your query completely.
1. What are your current symptoms , please provide in details.
2. Any difficulty in swallowing, alteration in voice ?
3. Weight loss or gain if any ?
4. Any current medications ?
Awaiting for your response.
Take care.
Dr Bhagyesh ( MS consultant surgeon )


malignancy not detected, but do not delay surgery for long period.
Detailed Answer:
Hi XXXXXXX
Thanks for the details.
* The current FNAC report showing high nuclear cytoplasmic ratio and
irregular nuclear membranes in some cells suggestive of follicular
neoplasm of Hurthle cell type is not clearly indicative of malignancy, but
rather long standing chronic issue of thyroid gland manifested at present
as swelling.
* Malignancy needs capsule invasion and hence FNAC can not differentiate
follicular benign condition towards malignancy precisely in each and every
case.
The advise of total thyroid removal is absolutely indicated in your case as per guidance of your consultant because of following reasons :
1. There is no medical cure available for your condition, as remedy in terms
of medicines to resolve it.
2. There are remote chances that current benign condition may turn out to
be cancer in future if left as such for long period of time.
3. You will get definite pathological diagnosis after biopsy report of the
whole thyroid gland after surgery.
* You do not need any further evaluation except routine pre op reports of lab
and anesthetic fitness evaluation by expert physician.
Let me know if you have further doubts anytime.
Regards.

follow up.
Detailed Answer:
Hi
* The usual course of stay in hospital is around 3-4 days on average and post
operative recovery requires at least a break of 15 days from job work.
As there is family history of Hodgkin lymphoma, surgery is a must consideration for you, though not emergency but earliest at planned situation.
Wish you best recovery from current health concern.
Regards.


Will surely go ahead with it.


Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
