Hurthle Cell Carcinoma

nanamac said:

Hurthle Cell

I have Hurthle Cell and have several surgeries for it over a number of years.  Is there anyone on here who has HC?

 

I have it as well. 

 When I first had an ultrasound of my throat the radiologist told me that “it’s typical of women my age to have goiters or nodules that are benign.” But when I had a FNA they discovered a nodule hurthle cells with a 99% chance of becoming cancerous. Long story short I was initially told there was nothing abnormal but pathology said otherwise. From what surgeons tell me..thyroid cancers are the most treatable  with high success rates. If your pathology report comes back diagnosing you with hurthle cell carcinoma, keep in mind that it’s treatable with a very low reoccurrence rate. 

I was just diagnosed with Hurthle Cell carcinoma by the ThryoSeq3 molecular study which is pretty accurate to diagnose Hurthle cell malignancies. Was wondering if anyone can repond to me to give me some insight as to what I am in store for. Surgeons you used, recurrences, RAI treatment, and the like

Please reach out as I am freaking out.
Regards,'

Sue

MarthaNP said:

Hurthle cell

My question: Do you have Hurthle Cells on FNAB and had removal and NO cancer?

Background: I am new to this discussion. I am a 37 yo white female who has had a nodule for 9 years on my right thyroid. It was biopsed 8 years ago, and was completely benign. It was followed for 7 years with totally normal, unchanged ultrasounds. Then, one month ago I had an irregular ultrasound showing the nodule was the same size, but different SHAPE. The only way to describe it is to say it was once round, and now it looks like "mickey mouse". The report showed "interpolar region thyroid mass on the RIGHT, based on the sonographic appearence, this is "intermediate probability" for thyroid malignancy based on the ATA criteria. Measurement of the nodules: On the right, there is a tri-lobe mass, measuring 10mmx9mmx10mm. On the left there is a tiny hypoechoic lesion in the lower pole measuring 4 mm in greatest dimension. This may be a cyst with a small intracystic nodule." I was told to have it bioped again. The biopsy showed "intermediate cellular specimen contains a prominent population of Hurthle cells, which are discohesive with midly enlraged nuclei. There is also a smaller population of unremarkable follicular cells. Scanty colloid and scatted lymphocytes are in the background. The nodule may represent a benign lesion with Hurthle cell metaplasia, but a Hurthle cell neoplasm cannot be completely ruled out."

 

With all this being said, I received two opinions (one general surgeon, one ENT) and am electively having a partial thyroidectomy on Thursday this week by ENT specialist at Dartmouth. I have read all about Hurthle cells and looked in this forum. It was quite confusing at first. I was curious if there is anyone here who had Hurthle cells, that did not turn out to be cancer? Should I still have a PET scan? I know Hurthle cells CAN (possibly, by some theories) turn cancerous and read the other information that removing the nodules is possibly a good idea. I see some of you have been through so much. I just was curious what your specifications were for your initial diagnosis? Does it sound similar to my reports? I have to wait about 2 weeks for full pathology reports. I am terrified. I am a medical professional and I am reading the evidence based informatoin about the Hurthle Cell cancer diagnoses and I am fearful that is what I will be diagnosed with. In addition, I have "enlarged lymph nodes upper end of normal". Thanks for any input and sharing your brave stories. I am so frightened of it all. 

I had a molecular study giving me an 80 chance it is Hurthle Cell Cancer and my nodes a almost triple your size ...so good news is you got them early , much beter prognosis.