Anaplastic Thyroid Carcinoma And Thyroid Lymphoma Flashcards
Genetics
P53 mutation
MiRNA 17-92 Upregulated
Beta catenin mutations
Long standing goitre rapidly increasing in size
Follicular thyroid cancer
Rapidly increasing thyroid swelling
Anaplastic
Local invasions of ATC
RLN-hoarseness of voice
Trachea-stidor Or dyspnea
Very hard thyroid swelling
Distant metastasis of PTC and ATC
Lungs
Tru-cut biopsy indication
FNAC inconclusive in ATC
Reidels thyroiditis
Aggressive surgery
Restricted to thyroid
(TT+CND+MRND)
Beyond thyroid
Palliative
Drug for Metastatoc ATC
Dabrafenib
If pressure over trachea in ATC
Isthumectomy
Type
Non hodgkins B-Cell lymphoma
(Diffuse or small blue cell tumour)
B symptoms
Fever
Night sweats
wt loss
Management
Rituximab
Cyclophospamide
Hydroxy danorubesin
Oncovin
Prednisolone
+ rt
If residual or recurrent
Surgery