Thyroid cancer

Question 1

What is the commonest histological type of thyroid cancer?

Answer 1

Papillary

Question 2

What is the commonest histological type of thyroid cancer?

Answer 2

Papillary

Question 3

What are the 4 types of thyroid cancer?

Answer 3

Papillary
Follicular
Medullary
Anaplastic

Question 4

Where does papillary thyroid cancer tend to spread first?

Answer 4

Lymph nodes

Question 5

What is papillary thyroid cancer associated with?

Answer 5

Hashimoto’s thyroiditis

Question 6

Which 2 types of thyroid cancer have the best prognosis?

Answer 6

Papillary & follicular

Question 7

Which type of thyroid cancer tends to spread haemotogenously first?

Answer 7

Follicular

Question 8

Clinical presentation of thyroid cancer

Answer 8

New thyroid nodule 
Male > female 
Nodule increasing in size
Vocal cord palsy 
Head/eck irradiation

Question 9

First line investigation of suspected thyroid cancer

Answer 9

US guided FNA

Question 10

If vocal cord palsy is suspected what should be done before surgery in thyroid cancer?

Answer 10

Larynoscopy

Question 11

What system is used to assess risk in thyroid cancer surgery?

Answer 11

AMES risk stratification 
A - Age 
M - Metastases 
E - Extent of primary tumour 
S - Size of primary tumour

Question 12

Which patients tend to have a low AMES risk?

Answer 12

Young patients with no metastasis

Question 13

What are the surgical options for thyroid cancer?

Answer 13

Thyroid lobectomy

Subtotal/total thyroidectomy

Question 14

What should be check within 24 hours of thyroid cancer op?

Answer 14

Calcium (if

Question 15

What medication is a patient usually discharged on after thyroid cancer ops?

Answer 15

T3/T4

Calcium (if indicated)

Question 16

At which point can a patient who has had thyroid ablation be discharged?

Question 17

What percentage of the radiation in a thyroid ablation is peed out in the first 24 hours?

Answer 17

0%

Question 18

What are the 4 types of thyroid cancer?

Answer 18

Papillary
Follicular
Medullary
Anaplastic

Question 19

Where does papillary thyroid cancer tend to spread first?

Answer 19

Lymph nodes

Question 20

What is papillary thyroid cancer associated with?

Answer 20

Hashimoto’s thyroiditis

Question 21

Which 2 types of thyroid cancer have the best prognosis?

Answer 21

Papillary & follicular

Question 22

Which type of thyroid cancer tends to spread haemotogenously first?

Answer 22

Follicular

Question 23

Clinical presentation of thyroid cancer

Answer 23

New thyroid nodule 
Male > female 
Nodule increasing in size
Vocal cord palsy 
Head/eck irradiation

Question 24

First line investigation of suspected thyroid cancer

Answer 24

US guided FNA

Question 25

If vocal cord palsy is suspected what should be done before surgery in thyroid cancer?

Answer 25

Larynoscopy

Question 26

What system is used to assess risk in thyroid cancer surgery?

Answer 26

``` AMES risk stratification A - Age M - Metastases E - Extent of primary tumour S - Size of primary tumour ```

Question 27

Which patients tend to have a low AMES risk?

Answer 27

Young patients with no metastasis

Question 28

What are the surgical options for thyroid cancer?

Answer 28

Thyroid lobectomy | Subtotal/total thyroidectomy

Question 29

What should be check within 24 hours of thyroid cancer op?

Answer 29

Calcium (if

Question 30

What medication is a patient usually discharged on after thyroid cancer ops?

Answer 30

T3/T4 | Calcium (if indicated)

Question 31

At which point can a patient who has had thyroid ablation be discharged?

Question 32

What percentage of the radiation in a thyroid ablation is peed out in the first 24 hours?

Answer 32

0%