What is the treatment of follicular neoplasm?
The recommended treatment for follicular neoplasm is surgery, and up to 70% of these patients undergo surgery for benign disease. In this case, besides the increased costs, the patients are prone to increased risk of surgical morbidity.
What percentage of thyroid follicular neoplasms are benign?
The diagnosis “follicular neoplasm” is indeterminate, and the majority of cases (70% in the current study) are benign. However, clinical features, including gender, nodule size, and age, can be a part of the decision analysis in selecting patients for surgery.
What is follicular neoplasm in thyroid?
A follicular adenoma is a benign encapsulated tumor of the thyroid gland. It is a firm or rubbery, homogeneous, round or oval tumor that is surrounded by a thin fibrous capsule. A follicular adenoma is a common neoplasm of the thyroid gland.
What are benign follicular cells?
Benign follicular adenomas. The word follicular means the cells look like a group of small circles under a microscope. If the follicular cells are contained within the nodule, the condition is called benign. If the cells have invaded the surrounding tissue, the diagnosis is cancer.
Are neoplasms always malignant?
Neoplasms may be benign (not cancer) or malignant (cancer). Benign neoplasms may grow large but do not spread into, or invade, nearby tissues or other parts of the body. Malignant neoplasms can spread into, or invade, nearby tissues.
How long does it take for follicular thyroid cancer to spread?
The median time to metastasis after initial treatment was 4.5 years (range: 2–8 years). The predominant site of metastasis was the lungs (50%), followed by bones (25%), regional lymph nodes (13%) and brain (12%).
What is the life expectancy of someone with thyroid cancer?
Prognosis is the chance of recovery. The 5-year survival rate tells you what percent of people live at least 5 years after the cancer is found. Percent means how many out of 100. Overall, the 5-year survival rate for people with thyroid cancer is 98%.
What is a benign neoplasm?
A benign neoplasm looks a lot like the tissue with normal cells from which it originated, and has a slow growth rate. Benign neoplasms do not invade surrounding tissues and they do not metastasize. Thus, characteristics include: Slow growth. Resemblance to tissue of origin (well differentiated)
What is a follicular lesion?
When biopsy is performed, about 20% to 30% of the nodules are reported to be a “follicular lesion.” This could be a follicular adenoma, hyperplastic nodule in a colloid goiter, follicular cancer, or a follicular variant of papillary carcinoma.
What are the follicular cells?
 The thyroid follicles are the structural and functional units of a thyroid gland. These are spherical, and the wall is made up of a large number of cuboidal cells, the follicular cells. These follicular cells are the derivates of the endoderm and secrete thyroid hormone.
What is follicular neoplasm Bethesda IV?
Bethesda category III includes the cytological findings: “atypia of undetermined significance” (AUS) and “follicular lesion of undetermined significance” (FLUS), while Bethesda category IV represents “follicular neoplasm/suspicious for follicular neoplasm”.
What is a suspicious thyroid biopsy?
“Suspicious” thyroid biopsy: this happens usually when the diagnosis is a follicular or hurtle cell caused lesion. Follicular and hurtle cells are normal cells found in the thyroid. Current analysis of thyroid biopsy results cannot differentiate between follicular or hurtle cell cancer from noncancerous adenomas.
Why FNAC Cannot differentiate between follicular adenoma and carcinoma?
Fine-needle aspiration cytology (FNAC) cannot differentiate follicular adenoma from follicular carcinoma since this distinction can only be based on the presence of capsular or vascular invasion, and this cannot be detected on a cytologic smear.