Thyroid FNA results

[Christie22]

I would be interested in thoughts please the nodule I have is visable and sticks out from the thyroid in the isthmus and I can feel it it causes some swallow issues and choke …I ve been told they will do the FNA with ultrasound again in six months .

My FNA was done under a trial approach with the people in the room working remotely with someone …this was a trial just for that days FNA

SAMPLE TYPES

THYRFN, isthmus-Thyroid FNA, isthmus

THYRWS, isthmus-Thyroid FNA Needle Washings, isthmus

Cytopathology Report

SPECIMEN(s):

A Thyroid FNA, isthmus

B Thyroid FNA Needle Washings, isthmus

2WW

for MDT on 9/11/22

CLINICAL DETAILS:

Exophytic U3 thyroid nodule measuring 1.9 x 1.1cm within thyroid

isthmus

MACROSCOPY:

A Received 4 ready made slides

B Received 5mls slightly cloudy pink fluid

Visible pellet post-centrifugation

CLOT STATUS:

Not applicable

ADDITIONAL TESTING STATUS:

Not applicable

MICROSCOPY:

A cellular sample consisting of an abundance of foam cell macrophages,

colloid and follicular cells arranged in macrofollicules. There are

no abnormal papillary nuclear or architectural features seen.

Microfollicles are not seen. The features are benign.

SUMMARY:

Thyroid FNA, isthmus: Benign nodule Thy2

[SlowDragon Administrator]

previous post here

healthunlocked.com/thyroidu...

Have you had full thyroid and vitamin testing done yet?

[Christie22 in reply to SlowDragon]

only TSH I have other auto immune conditions too and the thyroid has multi nodules not of note

[SlowDragon Administrator in reply to Christie22]

suggest you get full thyroid and vitamin testing done

Privately if necessary

[Christie22 in reply to SlowDragon]

I ve actually arranged TSH and t3 and 4 which vitamins and why ? I ve been known to have B12 deficiency but last time checked out ok but that was a while ago

[SlowDragon Administrator in reply to Christie22]

You need FULL Thyroid and vitamin testing

TSH, Ft4 and Ft3, plus both TPO and TG thyroid antibodies tested

With other autoimmune diseases already, it’s essential to see if you also have autoimmune thyroid disease

vitamin D, folate, B12 and full iron panel test for anaemia including ferritin

Low vitamin levels are extremely common when hypothyroid ….regardless of how good (or poor) diet is.

This is because hypothyroidism leads to low stomach acid and poor nutrient absorption, with low vitamin levels as direct result 

Low vitamin levels can mask thyroid issues, because low vitamin levels tend to lower TSH 

very common to develop dairy intolerance and/or gluten intolerance with any autoimmune disease but especially autoimmune thyroid disease

 U.K. medics rarely refer to autoimmune thyroid disease as Hashimoto’s 

They only look at the subsequent hypothyroidism…..rather than the autoimmune aspect

Only do private testing early Monday or Tuesday morning. 

Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery 

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

[Litatamon in reply to Christie22]

Just a note on your description -B12 deficiency does not work like that, deficient and then okay. If it is not due to diet, it is an absorption issue that does not change with testing or supplementation.

stichtingb12tekort.nl/engli...

stichtingb12tekort.nl/engli...

[Christie22 in reply to Litatamon]

appreciate you taking the time , so if deficient this affects the thyroid functionality and if affected the thyroid becomes multi nodule I am also have issues with low cortisol undergoing tests but on HC and FC much better on these

[Litatamon in reply to Christie22]

There could be many reasons for b12 deficiency due to absorption issues- Pernicious Anemia, H Pylori, tapeworm, Celiac.But yes hypothyroidism can bring low stomach acid which cause an absorption issue, which can mean low b12.

And getting folate, vitamin d, vitamin b12 & iron in order helps the function.

As for the nodules, I don't think they fully understand the whys and ins & outs in this moment in history. I had multinodular goitre and had a couple of rounds of FNA.I was content to do that as I had no interest in surgery. Then I almost drowned due to the constriction that two of them (size and placement) caused. I had swallowing issues but did not quite understand the oxygen deprivation until that moment. I am a strong swimmer so it was apparent very quickly that something was awry.

I used to read over my FNA reports & charts, and besides being thankfully benign I could not follow all the jargon of that and the ultrasound on them all. Otherwise I would try to help you out more. I know that when they become north of 4 cm the decisions become clearer. Due to the needle possibly missing a spot of cancer with its tip & more of a chance of partial blockage Two of mine were just shy of 4 cm and one more solid than mixed, but their placement made breathing and swallowing hard at times.

[Christie22]

thank you of this I am aware unfortunately it’s the medical profession that can’t accept this . It’s how all this contributes to my thyroid and it’s functionality

[Batty1]

pubmed.ncbi.nlm.nih.gov/205...

Interesting read and you definitely need a full thyroid panel not just TSH and T4.

[Christie22]

thank you and in light of this and issues I have with swallow choke and voice I ve requested a second opinion will speak with the dr tomorrow