Thyroid Cancer Flashcards
papillary thyroid cancer presentation
85% of cases
palpable, firm, contender nodule
papillary thyroid cancer dx
FNA
papillary thyroid cancer management
surgery
postoperative thyroid hormone replacement therapy
follicular thyroid cancer presentation
12% of cases
thyroid nodule
metastases common: lymph nodes, bone, and lungs
follicular thyroid cancer dx
FNA
follicular thyroid cancer management
surgery
postoperative thyroid hormone suppressive therapy and radioiodine
medullary thyroid cancer presentation
3-5% of cases
solitary thyroid nodule
MEN 2
flushing and diarrhea
medullary thyroid cancer dx
FNA
CEA
calcitonin
genetic testing for gremlin RET mutations
medullary thyroid cancer management
surgery
postoperative thyroxine
anaplastic thyroid cancer presentation
< 3% of cases
older patient with rapidly enlarging neck mass
neck pain and tenderness
dyspnea, dysphagia, hoarseness, cough
anaplastic thyroid cancer dx
FNA
anaplastic thyroid cancer management
if tumor localized: complete resection followed by combined radiotherapy and chemotherapy