thyroid gland neoplasm

Question 1

what the TRT of the folicular adenoma ?

Answer 1

loboectomy

Question 2

from where the medularly carcinoma apper?

Answer 2

from the parafolicular

Question 3

metastic tumer of rhe thyroid from wher comes ?

Answer 3

comes from the kidney and breast

and the thyroid cancer may invade the oropharnx by sequamous

Question 4

what the cause of the malignet tumer of the thyroid ?

Answer 4

low dose of radiation in the childhood particularly in the papillary

Question 5

what re the features of thr thyroid cancer

Answer 5

swelling in the neck
pressure syptomas 
cervical LN enlargment 
Lateral abberant thyroid 
recurent laryngeal nerve spasm

Question 6

whats the papillary carcinoma?

بالبصره

Answer 6

its in non endemic area where there is suffient amount of iodine and childern who expose to low dose of radiation

age 30-40

multifocal and multicenteric

metastasis by LN

better prognosis than the folicular
lateral abberant thyroid

pathology is
orphan anne nuclei and psmmoma body

Question 7

how to TRT papillary carcinoma?

Answer 7

total or near total thyroidectomy

give thyroxin as suppressent dose and then give radioiodine

Question 8

whats the follicular carcinoma?

Answer 8

in the endemic area and its coomon inthe north

in 50years
lymphadenopathy is uncommon

poor prognosis
vascualr invasion
distant metastsis

Question 9

hürthle cell carcinoma ?

Answer 9

its subtype of the follicular diifer fromthe folicular that iis multifocal and bilateral
its behave as the papillarya nd the folilicular metastasis by LN and vascular

Question 10

TRt of the hurthe cell carcinoma?

Answer 10

• loboectomy and isthuectomy if unilateral

- total if there is invasion

Question 11

whatre the prepration of the thyroid cancer ?

Answer 11

1-screening with I131
2-discontinue the T4 before the screen
3-radioiodine
5-synthtic TSH

Question 12

what the imprtance of the TG ?

Answer 12

its for follow up and detection of the metastasis

Question 13

Naplastic carcinoma?

Answer 13

spread by lymph and blood

poor prognosis /metastitic / pressure syptomas

TRT by chemand radio
not by surgery

surrger only indicated when there is

• pressure symptomas
• only the tumer confined the thyroid only

Question 14

whats medullary carcinoma?

Answer 14

-parafollicular carcinoma
-marker is the calcitonin
present with diarrhea because of prostogalndin and hydoxy -tryptamine that produce by tumer

pt with familial will have hyperthyrodism and pheocytochroma

-lymphatic and vascualr is more common

Question 15

what the cause of the medullary ?

Answer 15

toata thyroidectomy