Thyroid cancer and neck lumps Flashcards Preview

Endocrine > Thyroid cancer and neck lumps > Flashcards

Flashcards in Thyroid cancer and neck lumps Deck (25):
1

most common thyroid cancer?

papillary thyroid carcinoma

2

cancer associated with hasminoto's thyroiditis?

papillary thyroid carcinoma

3

second most common type of thyroid cancer?

follicular carcinoma

4

investigations of thyroid cancer?

ultrasound guided FNA of lesion
excision biopsy of lymph node

5

clinical predictors of malignancy?

`new thyroid nodule ,20 or >50
male
nodule increase size
lesion >4cm in diameter
history of head and neck cancer irradiation
vocal cora palsy

6

treatment of thyroid cancer?

surgery= treatment of choice

7

what is AMES?

age
mestastases
extend of primary tumour
size of primary tumour

8

operation of choice for low AMES patients?

thyroid lobectomy with isthmusectomy

9

operation of choice for high AMES patients/

sub total or total thyroidectomy

10

what bound the anterior triangle superiorly?

mandible

11

what bounds the anterior triangle medially?

midline

12

what bound the anterior triangle laterally?

anterior border of sternocleidomastoid

13

what bounds the posterior triangle medially?

posterior border of sternocleidomastoid

14

what bounds the posterior triangle laterally?

anterior border of trapezius

15

what bound the posterior triangle inferiorly?

clavical

16

causes of superficial swellings?

sebaceous cysts
lipomas
neurfibromas

17

causes of midline swellings?

thyroid
thyroglossal cyst
dermoid cyst

18

causes of anterior triangle swellings?

lymph nodes
brachial cysts
salivary glands
carotid body tumour

19

causes of posterior triangle swellings?

lymph nodes
cystic hygroma

20

what is a dermoid cysts?

rare congenitial cyst
usually in teenage years

soft
non fluctulant

21

what is a thyroglossal cyst?

contains lymphatics which may become infected

moves with tongue

usually in teenage years

22

what is a brachial cysts?

persisting second branchial arch
arises in upper part of anterior triangle
teenage years

" half filled water bottle"
can fistulate

23

persisting second branchial arch
arises in upper part of anterior triangle
teenage years

" half filled water bottle"
can fistulate

brachial cyst

24

usually present in first year
large and can cause pressure symptoms
lymph filled
transilluminate

cystic hygroma

25

investigation of thyroid swelling

exam-lypmh nodes , hoarse

TSH
USS-FNA