Sep 15, 2008 - 10:46 pm
I am looking for information from experienced members. FNA after ultrasound found atypical cells in a 2.1 cm fixed, solid nodule with small cystic component. It is a solitary dominant nodule in multi nodular thyroid. I am 55 year old woman and I may have had radiaton treatment in '50's as a child to treat tonsillitis and I am severely allergic to iodine contrast dye. I am asymptomatic except for slight hoarsness occasionally. No family history of thyroid cancer. The nodule was found incidentally on CT scan and seen as undifferentiated hypodensity. My thyroid lab work (TSH & T Free 4) is normal. My ENT - a surgeon who specializes in thyroid disease - advises that I need surgery to confirm cancer or not. He says I may only need the one lobe where the dominant nodule is located removed. I am very reluctant to have a functional thyroid (or even 1/2 of it) removed and I am definitely not a fan of surgical intervention unless absolutely essential. Could my case be medically managed and the nodule watched for growth? Do you think I need surgery? Should I get a second opinion first? My ENT is very good and well regarded however there is a major cancer center close to home where I could go for consult.