Thyroid cancer Flashcards
1
Q
what are the features of papillary thyroid cancer?
A
70% Often young females Metastasis to cervical lymph nodes Thyroglobulin can be used as a tumour marker excellent prognosis
2
Q
what are the features of follicular thyroid cancer?
A
20% Present as a solitary thyroid nodule Middle aged women >50 Metastasis to lung and bones Good prognosis
3
Q
what are the features of medullary thyroid cancer?
A
5%
part of MEN-2
Calcitonin acts as tumour marker
4
Q
what are the features of anaplastic thyroid cancer?
A
1% Common in elderly females Not responsive to treatment Local invasion is common Poor prognosis
5
Q
what are the features of lymphoma thyroid cancer?
A
Rare
Associated with Hashimoto’s thyroiditis
6
Q
presenting symptoms of thyroid cancer?
A
- Slow-growing neck lump
- Discomfort swallowing
- Hoarse voice
7
Q
signs of thyroid cancer?
A
• Cervical lymphadenopathy
8
Q
what bloods should be done for thyroid cancer?
A
o TFTs o Bone profile o Tumour Markers • Thyroglobulin - papillary and follicular • Calcitonin - medullary
9
Q
gold standard for thyroid cancer?
A
• Fine-Needle Aspiration
