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TIREOIDE - CA > Tireoide - Ca > Flashcards

Tireoide - Ca Flashcards

1
Q

CA de tireoide bem diferenciado

A

Papilifero e folicular

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2
Q

CA de tireoide pouco diferenciado

A

Medular e anaplástico

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3
Q

Características do papilifero

A
  • comum
  • mulher 20-40 anos
  • bom prognóstico
  • disseminação linfática
  • corpos psomatosos
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4
Q

CA FOLICULAR

Características

A
  • 2 mais comum
  • mulheres 40-60 anos
  • disseminação hematogenica
  • deu de iodo
  • aumento de células foliculares
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5
Q

Diagnóstico papilifero

A

PAAF

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6
Q

Diagnóstico folicular

A

Histopatologia

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7
Q

Tratamento papilifero

A

< 1cm : tireoidectomia parcial

> 1cm : tireoidectomia total

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8
Q

Tratamento folicular

A

< 2cm : tireoidectomia parcial

> 2cm : total

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9
Q

SEGUIMENTO DO PAPILIFERO E FOLICULAR

A
  • Supressão com TSH
  • USG a cada 6 meses
  • Se dosagem de tireoglobulina 1 a 2 ou cintilografia + —> ablação com iodo
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10
Q

Qual as células do carcinoma medular?

A

Células C ou parafoliculares (produzem calcitonina)

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11
Q

CMT - diagnóstico

A

PAAF

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12
Q

Apresentações

A

Esporádico e família

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13
Q

Familiar - formas

A

NEM2A e NEM2B

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14
Q

NEM2A

A

CMT + feocromocitoma + HIPERPARATIREOIDISMO

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15
Q

NEM2B

A

CMT + feocromocitoma + NEUROMAS

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16
Q

CMT - protooncogene

A

RET (familiares 1 grau)

17
Q

RET +

A

Tireoidectomia

18
Q

Tratamento CMT

A

Tireoidectomia + linfadenectomia

19
Q

Seguimento CMT

A

Calcitonina

20
Q

Anaplástico - características

A

Pior prognóstico
Raro
Agressivo
Idoso

21
Q

Anaplástico - fator de risco

A

Deficiência de iodo

22
Q

Anaplástico - diagnostico

23
Q

Tratamento - anaplástico

A

Traqueostomia + QT + RT

TIREOIDE - CA (1 decks)

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