Thyroid Cancer Flashcards
1
Q
What are the main types of thyroid cancer?
A
- Papillary
- Follicular
- Medullary
- Anaplastic
2
Q
What is the most common type of thyroid cancer?
A
Papillary
3
Q
What are features of thyroid cancer?
A
- Neck lump
- Hoarsenss
- Dyspnoea
- Dysphagia
- Cervical lymphadenopathy
4
Q
What investigations might you consider doing if you suspected thyroid cancer?
A
- Bloods - TFTs, serum calcitonin
- Imaging - US neck, CXR chest, Isotope uptake scan
- Other - FNA
5
Q
What age group does papillary thyroid cancer occur most commonly in?
A
Young individuals
6
Q
How would you manage someone with papillary/follicular thyroid cancer?
A
- Total thyroidectomy +/- node excision +/- radioiodine
- Levothyroxine - suppress TSH
7
Q
How would you manage medullary thyroid cancer?
A
- Phaeochromocytoma screen
- Thyroidectomy + node clearence
- External beam radiotherapy
8
Q
How would you manage anaplastic thyroid cancer?
A
Poor response to any treatment - Consider excision and radiotherapy
9
Q
What multiple endocrine neoplastic syndrome is medullary thyroid cancer associated with?
A
MEN-2
10
Q
Where does follicular cancer commonly spread to?
A
- Bone
- Lungs
