Cancer thyroid lump

Question 1

What are the details of papillary thyroid lump/cancer

Answer 1

Freq = 70%
Who = Young people
Spread = Local nodes, lung + bone
Good prognosis esp if young

Question 2

What are the details of follicular lump

Answer 2

Freq = 20%
Who = middle aged F>M
Spread = mets to bone/lung early via blood
Good prognosis if resectable

Question 3

What are the details of a medullary lump

Answer 3

Freq = 5%
Who = Familial (MEN syndrome) or sporadic (80%)
Spread = may prod calcitonin, local + mets
Poor prognosis

Question 4

What are the details of anaplastic lumps

Answer 4

Freq = <5%
Who = F>M (3:1) elderly
V poor prognosis

Question 5

What are the details of lymphoma

Answer 5

Freq = 2%
Who = F>M (3:1) elderly
Spread = present w. stridor or dysphagia, aggressive
?responsive to radiotherapy