THY3F and hemithyroidectomy

Hi,

This my first post here, I have been a long time lurker. I was hoping I could get some thoughts on my current situation; here is the background:

I had an ultrasound for a neck lump, which turned out to be a U3 nodule; I then had an ultrasound guided FNA biopsy, which came back as THY3F, with the recommendation to have a diagnostic partial thyroidectomy (remove the half of the thyroid with the nodule), as they cannot say whether the nodule is cancerous or benign, based on cytology alone - the surgery is needed to distinguish between the two. I am scheduled to have this next week.

However, I am now having second thoughts...I keep wondering what if the biopsy isn't representative of the entire nodule? I don't know, my mind is a bit frazzled. I'm worried that I'll have the surgery and then regret it afterwards, by thinking I didn't do everything in my power to avoid surgery. I find myself in a tough predicament, and thoughts would be appreciated.

Thank you so much for listening to me unload! 

Best wishes to you all.

  • Hey,

    I am going through similar. First found the lump end of Dec and have a date for surgery in May. I had an inconclusive FNA and then a core biopsy which the doctor interpreted as consistent with a benign lump but also malignancy can't be excluded. It's been an awful few months for me. I can't rest until it's out and I'm praying it's nothing sinister. They said 70% benign to me. It's 29mm and was U4 on ultrasound. How long has it taken you to get to this point? 

  • Hey,

    Sorry to hear that you're going through this too, it really is tough, isn't it? It can feel very lonely.

    I had my first ultrasound in October last year, and surgery is scheduled for next week.

    It's very reassuring that your doctor said that your biospy result is consistent with being benign, and that there is a 70% chance of it being benign - that's very high! Hold tight.

    What was your initial FNA graded as? (eg. thy1, thy2 etc.)

  • It's very very likely the surgery will be fine. And if the nodule is benign, as it probably is, you will get reassurance. If it is cancerous, then they will likely take out the rest of your thyroid and the situation will be dealt with. 

    I think we all have second thoughts about surgery. In my case, there was no doubts about the cancer. The biopsy came up as malignant, but I still had a few fleeting thoughts of "hey, some studies show thyroid cancer rarely causes harm, so could I just leave it?" Of course, that would not have been a good idea, but I think it is natural to think of alternatives.

    If its any reassurance, I got my entire thyroid and 57 lymph nodes removed and was back at work a month after the operation.

  • My first FNA was thy1 inadequate sample. I think my core biopsy result is similar to thy3f but they don't give it a grading on the core one apparently. I hate this situation. I just hope and pray it's benign. I also got diagnosed with hypothyroidism when I found the lump. Not sure if I had post partum thyroiditis as I just had a baby last year. Hypothyroidism is also in my immediate family. I also swelled up the same side when I had my second corona jab. I'm hoping maybe the other stuff going on could have caused the lump but I don't know. I just hope and pray it's nothing bad and I can move on with my life. Fingers crossed for us both. It's given me extreme anxiety these past few months

  • Hey, are you going ahead with your surgery?

  • Hi Margaret,

    Thank you so much for your kind response and reassurance. I am so glad to hear that you have recovered well; well done to you for getting through such a tough period! 

    That is true, I feel like with the surgery so close now, my judgement is being clouded a little! All of the thoughts are coming to a surface, and I feel like I am running out of time to get answers to these before the surgery!

  • Hey, so my surgery is scheduled for Friday but I have a call with my doctor tomorrow as I had a few concerns. I feel like I can now feel another lump on the other side of my thyroid gland :sad: I'm not sure if I am just being paranoid, but I would like to get that checked before I have surgery - will discuss with doc tomorrow and see what they advise doing.

    When is your surgery?

  • Hi,

    I know what you mean about being paranoid. I went from thinking I have nothing wrong to everything. My surgery is second week of May. Can't wait to get it over and hope I can move on.

  • Good luck for tomorrow, let me know how you get on

  • Hey,

    I know what you mean, I am definitely a hypochondriac now, and it sucks! I'm glad to hear that your surgery has been scheduled now.

     

    Thank you so much for the good luck, I am so scared; I don't feel prepared at all, and have little time left now. I will try to report back on here once it's over. I'm really scared about the general anaethesia, and worry about the recovery process.