Thyroid Cancer Flashcards
Name the most common type of thyroid cancer.
Papillary
Name the second most common type?
follicular
Which types of thyroid cancer are differentiated?
papillary and follicular
What do most thyroid cancers take up and secrete?
take up iodine
secrete thyroglobulin
What does differentiated features mean in terms of prognosis?
good prognosis
Is thyroid cancer more common in men or women?
women
What is there a strong association with in thyroid cancer?
exposure to radiation
How does papillary thyroid cancer tend to spread?
via lymph
What type of cancer is associated with Hashimoto’s thyroiditis?
papillary
Where is incidence of follicular cancer slightly higher?
regions of relative iodine deficiency
How do follicular carcinomas tend to spread?
haematogenously
What risk stratification system is used post op?
Age
Mets
Extent of primary tumour
Ssize of tomour
In whom is thyroid lobectomy with isthmusectomy used?
minimally invasive follicular carcinomas
AMES low risk group
In whom is sub total or total thyroidectomy used?
patients in high risk AMES group
What needs to be done in post op care?
calcium checked within 24 hrs
Calcium replacement initially if corrected calcium falls below 2
Patient discharged on T3 or T4
