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Surgery > Thy Neoplasm > Flashcards

Thy Neoplasm Flashcards

1
Q
  1. What is the most common type of thyroid cancer?
A

Papillary thyroid carcinoma (80% of cases).

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2
Q
  1. What is the prognosis for papillary thyroid carcinoma?
A

Excellent

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3
Q
  1. What is the most aggressive type of thyroid cancer?
A

Anaplastic carcinoma.

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4
Q
  1. What is the familial predisposition for medullary thyroid carcinoma?
A

MEN2A and MEN2B syndromes.

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5
Q
  1. What is the most common presentation of thyroid cancer?
A

A palpable neck mass.

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6
Q
  1. What is the Bethesda system for thyroid FNA results?
A

A classification system for thyroid nodules based on cytology

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7
Q
  1. What is the risk of malignancy for a nondiagnostic FNA result?
A

1% to 4%.

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8
Q
  1. What is the risk of malignancy for a benign FNA result?
A

<1%.

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9
Q
  1. What is the risk of malignancy for an AUS/FLUS FNA result?
A

5% to 15%.

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10
Q
  1. What is the risk of malignancy for a follicular neoplasm FNA result?
A

15% to 35%.

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11
Q
  1. What is the risk of malignancy for a suspicious for malignancy FNA result?
A

60% to 75%.

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12
Q
  1. What is the risk of malignancy for a malignant FNA result?
A

97% to 99%.

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13
Q
  1. What are the common sites of distant metastasis in papillary thyroid carcinoma?
A

Lungs

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14
Q
  1. What are the characteristic nuclear features of papillary thyroid carcinoma?
A

Orphan Annie nuclei and psammoma bodies.

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15
Q
  1. What is the treatment for papillary thyroid carcinoma?
A

Near-total or total thyroidectomy.

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16
Q
  1. What is the AGES scoring system for papillary thyroid carcinoma?
17
Q
  1. What is the MACIS scoring system for papillary thyroid carcinoma?
A

Metastases

18
Q
  1. What is the AMES scoring system for thyroid cancer?
19
Q
  1. What is the most common presentation of follicular thyroid carcinoma?
A

A solitary thyroid nodule

20
Q
  1. What is the treatment for follicular thyroid carcinoma?
A

Thyroid lobectomy

21
Q
  1. What is the prognosis for follicular thyroid carcinoma?
A

15% mortality at 10 years and 30% at 20 years.

22
Q
  1. What is the characteristic feature of Hürthle cell carcinoma?
A

Vascular or capsular invasion

23
Q
  1. What is the treatment for medullary thyroid carcinoma?
A

Total thyroidectomy due to high incidence of multicentricity.

24
Q
  1. What is the typical presentation of anaplastic thyroid carcinoma?
A

Rapidly enlarging

25
Q
  1. What is the prognosis for anaplastic thyroid carcinoma?

Surgery (16 decks)

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