Neck & Thyroid

Question 1

What are the red flag features of thyroid neck lump?

Answer 1

1) FH of thyroid cancer
2) Prev exposure to high radiation
3) Child w/ thyroid nodule
4) Unexplained horseness/stridor w/ goitre
5) Painless thyroid mass w/ rapid expansion
6) Insidious/persistent pain - for several weeks
7) Palpable cervical lymphadenopathy

Question 2

What is MEN 1?

Answer 2

1) Pituitary adenoma
2) Parathyroid hyperplasia
3) Pancreatic Ca
30% association w/ Zollinger-Ellison Syndrome - gastrinomas in duodenum/pancreas=> increased gastrin secretion

Question 3

What is MEN 2A?

Answer 3

1) Medullary Thyroid Ca
2) Parathyroid hyperplasia
3) Phaeochromocytoma - adrenal medulla

Question 4

What is MEN 2b?

Answer 4

1) Medullary Thyroid Ca
2) Mucosal Neuromas
3) Marfanoid features
4) Phaeochromocytoma