Thyroid Cancer Flashcards Preview

Endocrinology > Thyroid Cancer > Flashcards

Flashcards in Thyroid Cancer Deck (20):
1

Name the most common type of thyroid cancer.

Papillary

2

Name the second most common type?

follicular

3

Which types of thyroid cancer are differentiated?

papillary and follicular

4

What do most thyroid cancers take up and secrete?

take up iodine
secrete thyroglobulin

5

What does differentiated features mean in terms of prognosis?

good prognosis

6

Is thyroid cancer more common in men or women?

women

7

What is there a strong association with in thyroid cancer?

exposure to radiation

8

How does papillary thyroid cancer tend to spread?

via lymph

9

What type of cancer is associated with Hashimoto's thyroiditis?

papillary

10

Where is incidence of follicular cancer slightly higher?

regions of relative iodine deficiency

11

How do follicular carcinomas tend to spread?

haematogenously

12

What risk stratification system is used post op?

Age
Mets
Extent of primary tumour
Ssize of tomour

13

In whom is thyroid lobectomy with isthmusectomy used?

minimally invasive follicular carcinomas
AMES low risk group

14

In whom is sub total or total thyroidectomy used?

patients in high risk AMES group

15

What needs to be done in post op care?

calcium checked within 24 hrs
Calcium replacement initially if corrected calcium falls below 2
Patient discharged on T3 or T4

16

When is whole body iodine scanning used?

patients who have had sub total or total thyroidectomy

17

When is T4 stopped before scan?

4 weeks

18

When is T3 stopped before scan?

2 weeks

19

What are two side effects of thyroid remnant ablation?

sialadenitis, sore throat

20

What can be used as a tumour marker/?

thyroglobulin