Endocrine Pathology Flashcards
Hashimoto’s thyroiditis
Hypothyroidism
Autoimmune
Lymphocytic destruction of thyroid gland
F>M
Sx of Hashimoto’s thyroiditis
Myxoedema Weight gain Constipation Bradycardia Slow reflexes Thin hair
Causes of hyperthyroidism
Graves’ disease
Multinodular goitre
Toxic adenoma
Carcinoma
Graves’ disease
Autoimmune thyroid stimulating antibodies
Follicular adenoma of thyroid
Benign euthyroid
Mx: Thyroid lobectomy
Types of thyroid carcinoma
Papillary
Follicular
Anaplastic
Medullary
Papillary thyroid carcinoma
Psammoma - epithelial cells with pale empty nuclei
Medullary thyroid carcinoma
C cells of thyroid
Secrete calcitonin
Causes of primary hyperparathyroidism
Adenoma
Hyperplasia
Causes of secondary hyperparathyroidism
Chronic renal failure - compensation for hypercalcaemia
Sestamibi scan
Radioactive technetium 99
Highlights hyperactive parathyroid glands
MEN
Multiple Endocrine Neoplasm
MEN1
MEN1 gene on chromosome 11q13 - tumour suppressor gene
Glands affected by MEN1
Parathyroid
Pituitary
Pancreas
MEN2a
PTH hyperplasia
Medullary carcinoma
Phaeochromocytoma