nodulo tiroideo Flashcards

1
Q

causas

A
  • deficiencia de yodo, multinodular, enf graves, tiroidistis y cancer
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2
Q

que pasa

A

tiroides aumenta de tamaño

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3
Q

usg

A

quistes lleno de agua . se ve negro

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4
Q

TIRADS

A

I- BENIGNO, no baff
II- no sospechoso, no BAAF
III- sospechoso, BAAF si >2.5
IV- muy sospechoso, BAAF >1.5cm
V- alta sospecha, BAAF >1cm
VI- maligno demostrado BAAF

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5
Q

II- no sospechoso, no BAAF

A

vigilar cada año y 95% benigno

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6
Q

III- sospechoso, BAAF si >2.5

A

seguimiento cada 6 meses

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7
Q

PET-CT

A

estudio metabolico si hay sospecha de malignidad, nodulo de 1cm,

*** capacion focal indica MALIGNIDAD

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8
Q

GAMAGRAMA

A

nodulo unico, bocio multinodular o BAAF indetermianda

TC o yodo

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9
Q

GRAMAGRAMA - frio o caliente

A

frio - 80%quistico 1-2%maligno
calient - maligno

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10
Q

cancer de tiroides mas frecuente

A

papilar

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11
Q

unico organo que acumula radiacion

A

tiroides

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12
Q

cancer mas agresivo de tiroides

A

folicular- se asocia a deficiencia de yodo

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13
Q

ca papilar tx

A

levotiroxina de por vida

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14
Q

ca medular

A

tiroidectomia radical + diseccion total del cuello, PET CT y reemplazo hormonal

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