Endocrine and Metabolic Diseases Flashcards
0
Q
Indications for total thyroidectomy in the treatment of papillary carcinoma?
A
- Tumor >3cm
- B/L tumor
- Advanced tumors
- Mets
1
Q
Rx Papillary carcinoma
A
Lobectomy with isthmusectomy
Adjuvant Rx: TSH suppression; radioiodine therapy for larger tumors.
2
Q
Rx follicular carcinoma
A
Total thyroidectomy with postoperative iodine ablation
3
Q
Rx Medullary carcinoma?
A
Total thyroidectomy; radioiodine therapy usually unsuccessful. Modified radical neck dissection is also indicated when there is lymph node involvement (most cases)
4
Q
Rx Anaplastic carcinoma?
A
Chemotherapy and radiation may provide a modest improvement in survival. Prognosis grim - death within a few months, usually due to invasion of adjacent organs (trachea, neck vessels)
