Thyroid Carcinoma Flashcards
1
Q
Types of Thyroid Carcinoma
A
- Papillary
- Follicular
- Anaplastic
- Lymphoma
- Medullary
2
Q
Papillary Thyroid Carcinoma
A
- BRAF mutation or RET/PTC gene rearrangement
- Multifocal
- Exposure to radiation
- Local spread to lymph nodes
3
Q
Follicular Thyroid Carcinoma
A
- Usually solitary nodule
- RAS mutation of PAX8/PPARG translocation
- Metastases to lung/bone
4
Q
Anaplastic Thyroid Carcinoma
A
- Aggressive
- Locally invasive
5
Q
Lymphoma Thyroid Carcinoma
A
- Can arise from Hashimoto’s
6
Q
Medullary Thyroid Carcinoma
A
- Parafollicular C cell origin
- Sporadic, MEN2, Familial FMTC
- Serum calcitonin levels raised
7
Q
Thyroid Carcinoma Symptoms
A
- Neck: lump, swelling, pain
- Hoarseness
- Swallowing difficulties
- Breathing difficulties
- Constant cough
8
Q
Thyroid Carcinoma Staging
A
TNM
9
Q
Thyroid Carcinoma Management
A
- Surgery
- Radioactive iodine (except anaplastic and medullary)
- External radiotherapy
- Chemotherapy
- Suppressive thyroxine