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What Causes Follicular Adenoma?

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Posted on Thu, 31 Jul 2014
Question: Hi, my sister has be diagnose mix echogenic solid lesion in left lobe of Thyroid gland and as described possibility of colloid nodule/Follicular adenoma. What does this mean and what is the treatment for the same. Is there is any serious? Please suggest and reply
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
possibility of benign pathology

Detailed Answer:
Hi.
Thanks for your query.

This must have been diagnosed by Ultrasonography.
This is called solitary nodule. The meaning of colloid nodule / Follicular Adenoma is a possibility of a benign / non-cancerous mass which has developed into the left lobe of the thyroid gland.
The mixed echogenicity is suggestive of further investigation.

The newest protocol for such a lesion is as follows:
*Ultrasonography guided FNAC- fine needle aspiration cytology. This is single most important investigation that helps for the plan of further management.
* Blood tests: Routine ones and Free T3, Free T4 and TSH ( thyroid function tests).
Ultrasonography must have been negative for lymph nodes in the neck as is not mentioned by you.

The Plan would be to do removal of the left lobe of the thyroid if FNAC is negative for cancer and to subject the tissues for histopathology examination.

If the FNAC is positive for cancer, to go for Total Thyroidectomy.
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Causes Follicular Adenoma?

Brief Answer: possibility of benign pathology Detailed Answer: Hi. Thanks for your query. This must have been diagnosed by Ultrasonography. This is called solitary nodule. The meaning of colloid nodule / Follicular Adenoma is a possibility of a benign / non-cancerous mass which has developed into the left lobe of the thyroid gland. The mixed echogenicity is suggestive of further investigation. The newest protocol for such a lesion is as follows: *Ultrasonography guided FNAC- fine needle aspiration cytology. This is single most important investigation that helps for the plan of further management. * Blood tests: Routine ones and Free T3, Free T4 and TSH ( thyroid function tests). Ultrasonography must have been negative for lymph nodes in the neck as is not mentioned by you. The Plan would be to do removal of the left lobe of the thyroid if FNAC is negative for cancer and to subject the tissues for histopathology examination. If the FNAC is positive for cancer, to go for Total Thyroidectomy.