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Conditions and Diseases > Gland Disorders Forum > FNA showed lump non-cancerous : should I have it removed ?
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Q: FNA showed lump non-cancerous : should I have it removed ?
asked by: DoctorQuestion on May 12th, 2007
I have a cyst on my thyroid which has a solid component too. I have had a fna and have been told that the lump is not cancerous but I know no more about it other than that I am due to have it removed in 4 weeks time. I am so confused as to whether I actually need the surgery. One registrar advised me that if I left the lump there it would be fine but that I would have it checked every 6 months (why check it if it would be fine?) and the other said that it was best to have it removed to prevent it becoming nasty in the future and to double check that it was not cancerous. I just don't know what to do for the best. If I don't have it out it will be monitored, but then there is (possibly, depending on which doc I speak to) a risk that it might turn nasty, but if I have it out I might be having surgery resulting in a visible scar for no reason. I really need advice as to whether it is of a benefit to me to have this surgery. Thank you


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Dr. Nikola Gjuzelov , MD
replied on May 21st, 2007
Gland Disorders Answer A2760
A visible scar on the neck is nothing compared to the benefit that you will achieve by removing the “cyst with solid component in it”. First you should know that a fine needle aspiration (FNA) is not a 100% secure diagnostic procedure. Surgical removal of the cyst with patho-hystological examination afterward is the only 100% secure procedure for distinguishing if the tumor is benign or malignant. Even if the tumor is benign, it should be removed because it may produce excessive amounts of thyroxin that can cause thyreotoxicosis or can be transformed into malignant tumor. the prescribed check ups very 6 months were suggested exactly for these possible risks.
You can consult a thoracic surgeon for an expert opinion.





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