Thyroid Cancer Flashcards
1
Q
What are the risk factors for thyroid cancer?
A
Female
Head/neck radiation
FHx
Early adulthood
2
Q
What are the symptoms for thyroid cancer?
A
SOB
Dysphagia
Horseness
Rapid neck enlargement
3
Q
What are the signs of thyroid cancer?
A
Palpable thyroid nodule
Cervical lymphadenopathy
Tracheal deviation
4
Q
What are the investigation for thyroid cancer?
A
BLOODS
-TSH/T4 = normal
BIOPSY
-Fine needle aspiration = cytology carcinoma
IMAGING
- Ultrasound = nodules, irregular lumps
- CT/MRI = metastatic spread
5
Q
How is thyroid cancer managed?
A
Total thyroidectomy - risks bleeding, infection, recurrent laryngeal nerve damage, hypoparathyroidism
Radioactive iodine ablation
Levothyroxine = TSH suppression
Sorafenib if metastatic
