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Endocrine > Thyroid cancer and neck lumps > Flashcards

Thyroid cancer and neck lumps Flashcards

1
Q

most common thyroid cancer?

A

papillary thyroid carcinoma

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2
Q

cancer associated with hasminoto’s thyroiditis?

A

papillary thyroid carcinoma

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3
Q

second most common type of thyroid cancer?

A

follicular carcinoma

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4
Q

investigations of thyroid cancer?

A

ultrasound guided FNA of lesion

excision biopsy of lymph node

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5
Q

clinical predictors of malignancy?

A 
`new thyroid nodule ,20 or >50
male
nodule increase size
lesion >4cm in diameter
history of head and neck cancer irradiation
vocal cora palsy
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6
Q

treatment of thyroid cancer?

A

surgery= treatment of choice

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7
Q

what is AMES?

A

age
mestastases
extend of primary tumour
size of primary tumour

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8
Q

operation of choice for low AMES patients?

A

thyroid lobectomy with isthmusectomy

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9
Q

operation of choice for high AMES patients/

A

sub total or total thyroidectomy

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10
Q

what bound the anterior triangle superiorly?

A

mandible

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11
Q

what bounds the anterior triangle medially?

A

midline

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12
Q

what bound the anterior triangle laterally?

A

anterior border of sternocleidomastoid

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13
Q

what bounds the posterior triangle medially?

A

posterior border of sternocleidomastoid

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14
Q

what bounds the posterior triangle laterally?

A

anterior border of trapezius

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15
Q

what bound the posterior triangle inferiorly?

A

clavical

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16
Q

causes of superficial swellings?

A

sebaceous cysts
lipomas
neurfibromas

17
Q

causes of midline swellings?

A

thyroid
thyroglossal cyst
dermoid cyst

18
Q

causes of anterior triangle swellings?

A

lymph nodes
brachial cysts
salivary glands
carotid body tumour

19
Q

causes of posterior triangle swellings?

A

lymph nodes

cystic hygroma

20
Q

what is a dermoid cysts?

A

rare congenitial cyst
usually in teenage years

soft
non fluctulant

21
Q

what is a thyroglossal cyst?

A

contains lymphatics which may become infected

moves with tongue

usually in teenage years

22
Q

what is a brachial cysts?

A

persisting second branchial arch
arises in upper part of anterior triangle
teenage years

” half filled water bottle”
can fistulate

23
Q

persisting second branchial arch
arises in upper part of anterior triangle
teenage years

” half filled water bottle”
can fistulate

A

brachial cyst

24
Q

usually present in first year
large and can cause pressure symptoms
lymph filled
transilluminate

A

cystic hygroma

25
Q

investigation of thyroid swelling

A

exam-lypmh nodes , hoarse

TSH
USS-FNA

Endocrine (29 decks)

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