Management

Question 1

Management for thyroid cancer usually with 3 options for adjuvant, systemic therapy options

Answer 1

Thyroidectomy + central neck dissection
- Adjv RAI: I-131 (does not work on medullary or anaplastic)
- TSH suppression
- EBRT if high risk for LC

If doesn’t respond to above:
- TKI (Lenvatinib)
- PDL-1i (pembrolizumab)
- BRAFi (dabrafenib/trametenib)

Question 2

5 things that cause peritoneal seeding

Answer 2

ovarian cancer
colorectal cancer
pancreatic cancer
gallbladder tumors
gastric