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Thyroid Surgery Done. Histopathology Report Showed Hashimoto's Thyroiditis. Required Treatment?
Question: Dear Sir,
my wife under went theroyd surgery one year back and after surgery we got this biosphy report,
can you please suggest the treatment further for the below biosphy report.
HISTOPATHOLOGY REPORT
NATURE OF SPECIMEN : RIGHT HEMI-THYROIDECTOMY
Clinical Details : not provided
Gross:
recived single thyroid nodule measuring 5x3x2cms, cut sections shows nodular solid grey white area measuring 3.5x2.5 cms. normal thyroid tissue measuring 0.8cms. Capsule intact sections for histology : A - Capsule, B- Normal thyroid with Capsule, C- Capsule, D,E,F,G - Full Capsule.
Microsopic Examination:
Sections shows a nudule containing comapctly arranged thyroid follicles lined by cuboidal epithelium. Focal areas shows ground glass nuclei abortive papillary structures. out side the capsules shows normal follicles with lymphoid collections forming lymphoid follicles.
IMPRESSIONS:
SUGGESTIVE OF HASHIMOTO'S THYROIDITIS WITH ENCAPSULATED FOLLICULAR VARIANT OF PAPILLARY CARCIMONA.
my wife under went theroyd surgery one year back and after surgery we got this biosphy report,
can you please suggest the treatment further for the below biosphy report.
HISTOPATHOLOGY REPORT
NATURE OF SPECIMEN : RIGHT HEMI-THYROIDECTOMY
Clinical Details : not provided
Gross:
recived single thyroid nodule measuring 5x3x2cms, cut sections shows nodular solid grey white area measuring 3.5x2.5 cms. normal thyroid tissue measuring 0.8cms. Capsule intact sections for histology : A - Capsule, B- Normal thyroid with Capsule, C- Capsule, D,E,F,G - Full Capsule.
Microsopic Examination:
Sections shows a nudule containing comapctly arranged thyroid follicles lined by cuboidal epithelium. Focal areas shows ground glass nuclei abortive papillary structures. out side the capsules shows normal follicles with lymphoid collections forming lymphoid follicles.
IMPRESSIONS:
SUGGESTIVE OF HASHIMOTO'S THYROIDITIS WITH ENCAPSULATED FOLLICULAR VARIANT OF PAPILLARY CARCIMONA.
Hello
Hashimoto's Thyroiditis is commonly associated with thyroid nodules.They are scanned by USG and MRI.Most of them are benign but 5%show cancer which is papillary carcinoma.In this condition you have to observe the gland and take levothyroxine as advised by your doctor.If the carcinoma is proved then the whole of the gland is to be removed and take levothyroxine for the whole life.Prognosis of this type of carcinoma is good but it requires regular follow ups for the lymph glands in the neck.Gluten free diet is advised for 60 days to prevent the formation of TPO antibodies.It is better to consult your doctor and pathologist for the confirmation and further treatment.
Best wishes and good luck.
Hashimoto's Thyroiditis is commonly associated with thyroid nodules.They are scanned by USG and MRI.Most of them are benign but 5%show cancer which is papillary carcinoma.In this condition you have to observe the gland and take levothyroxine as advised by your doctor.If the carcinoma is proved then the whole of the gland is to be removed and take levothyroxine for the whole life.Prognosis of this type of carcinoma is good but it requires regular follow ups for the lymph glands in the neck.Gluten free diet is advised for 60 days to prevent the formation of TPO antibodies.It is better to consult your doctor and pathologist for the confirmation and further treatment.
Best wishes and good luck.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor,
one my consultant Doctor advised us to visit the Oncologist for a advice,
is it suggestable to visit oncologist ????????
one my consultant Doctor advised us to visit the Oncologist for a advice,
is it suggestable to visit oncologist ????????
Hello
Welcome once again
Yes , you should visit an oncologist as well as an endocrinologist.As you have mentioned that the surgery was done one year back so the surgeon must have guided you for the further treatment.
Best wishes once again
Welcome once again
Yes , you should visit an oncologist as well as an endocrinologist.As you have mentioned that the surgery was done one year back so the surgeon must have guided you for the further treatment.
Best wishes once again
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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