Management - Thyroid Nodules Flashcards
thyroid lumps can either be…
solitary thyroid nodule
or
multinodular goitre
vast majority of solitary nodules are ______
vast majority of solitary nodules are BENIGN
Thyroid:
Cyst
Colloid Nodule
Benign Follicular adenoma
Hyperplastic Nodule
the above are all benign/malignant?
benign
name the common thyroid cancer
papillary thyroid carcinoma
what do we get the patient to do so we know the nodule is in the thyroid?
moves on swallowing
name the investigation into thyroid nodules
USS-FNA
ultrasound fine needle aspiration
what is the FNA classification?
Bethseda classification
thy1-5 (higher the number the more malignant)
2 surgical procedures for thyroid nodules?
lobectomy or total thyroidectomy
depends on age, stage and size
what is often found on the background of auto-immune hypothyroidism?
thyroid lymphoma
investigation for thyroid lymphoma?
biopsy
thyroid lymphoma treatment?
chemo, radio or steroids
medullary thyroid carcinoma is ____ and is a tumour of the ______________ cells which secrete ___________
medullary thyroid carcinoma is RARE and is a tumour of the PARAFOLLICULAR cells which secrete CALCITONIN
how is medullary thyroid carcinoma diagnosed?
FNA - amyloid or calcitonin
clinical features of medullary thyroid carcinoma?
large tongue
multinodular goitre
multinodular goitre treatment?
most can leave or surgery if problem
