Thyroid Lumps

Question 1

Types thyroid ca?

Answer 1

Papillary- young patients. Most common. Mx- total thyroidectomy + radioiodine and node excision. Give thyroxine. Better prog if young F

Follicular-

Question 2

Investigations for thyroid lumps?

Answer 2

T3,4 and TSH
Thyroid autoantibodies (anti-TSH r, TPO thyroid peroxidase antibodies, antithyroglobulin antibodies)- hashimotos or Graves’ disease
Serum thyroglobulin- monitoring for ca

USS

Isotope scan (123I)- ‘cold’ nodules more likely to be malignancy

FNA