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Clinica Médica > Ca de Tireoide > Flashcards

Ca de Tireoide Flashcards

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1
Q

Quais sao os bem diferenciados

A

Papilifero

Foliculares

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2
Q

Caracteristicas do CA bem diferenciados

A

Mulher 20-40 anos
Mais comuns
Bom prognostico

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3
Q

Ca pouco diferenciados: caracteristicas

A

Menos comuns

Pior prognostico

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4
Q

Tipos de Ca pouco diferenciados

A

Medular

Anaasico

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5
Q

Ca tiroide mais comum

A

Papilifero

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6
Q

Disseminaçao do papilofero

A

Linfatica

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7
Q

Diagnostico do ca papilifero

A

PAAF

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8
Q

Corpos psomonatosos

A

Papilifero

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9
Q

Tto CA papilifero

A

< 1cm: parcial

> 2cm: total

Pct < 15 anos/irradiaçao: total

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10
Q

Segmento pos tto do papilifero

A

Tireoglobulina

Cintilografia

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11
Q

CA folicular: disseminaçao

A

Hematogenica (osso, pulmao, figado)

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12
Q

Risco ca folicular

A

Carencia de iodo

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13
Q

PAAF com celulas foliculares

A

Adenoma

Ou Ca folicular

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14
Q

Diagnostico CA folicular

A

Histopatologico

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15
Q

Tto CA folicular

A

<= 2cm: parcial
(Se for adenoma ok; se CA: total)

> 2 cm: total

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16
Q

Segmento CA folicular

A

Tireoglobulina

Cintilografia

17
Q

Origem carcinoma medular de tireoide

A

Celulas C ou parafoliculares

18
Q

Marcador serico CA medular de tireoide

A

Calcitonina: serve para segmento pos tto

19
Q

Tto carcinoma medular de tireoide

A

Tireoidectomia + linfadenectomia

20
Q

Diagnostico carcinoma medular de tireoide

A

PAAF

21
Q

CA medular: esporadico x familiar

A

Esporadico : 80%

Familiar: NEM 2

22
Q

NEM 2

A

A: CMT+ feocromocitoma+ hiperparatireoidismo

B: CMT+ feocromocitoma+ neuromas

23
Q

Carcinoma medular de tireoide: genes

A

Proto-oncogene RET

Pesquisar em parentes 1 grau

Se positivo: tireoidectomia profilatica

24
Q

Caracteristicas do carcinoma anaplasico

A 
Pior prognostico
Mais raro
Mais agressivo
Idosos
Def iodo
25
Q

Diagnostico carcinoma anaplasico de tireoide

A

PAAF

26
Q

Sintoma de excesso de calcitonina

A

Diarreia

27
Q

Tto carcinoma anaplasico de tireoide

A

Traqueostomia+ QT\ RT

28
Q

Carcinoma de celulas de Hurthle

A

Variante mais agressiva e menos diferenciada do folicular

29
Q

Tto carcinoma Celulas de Hurthle

A

Tireoidectomia total + linfadenectomia

30
Q

Fluxograma do nodulo de tireoide

A

Pedir TSH

NORMAL: USG
Se <1cm acompanha
Se > 1cm/ suspeito: PAAF

SUPRIMIDO
Cintilografia
Frio: USG
Quente: adenoma toxico

31
Q

Tto adenoma toxico

A

Cirurgia ou radioIodo

32
Q

Nodulo de tireoide suspeito

A 
Idade: < 20 ou > 60
Irradiaçao
Historia familiar +
Rouquidao
Crescimento

USG: microcalcificaçoes
Infiltrativo
Vascularizaçao Chammas IV e V

Clinica Médica (61 decks)

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