Thyroid cancer and neck lumps

Question 1

most common thyroid cancer?

Answer 1

papillary thyroid carcinoma

Question 2

cancer associated with hasminoto’s thyroiditis?

Answer 2

papillary thyroid carcinoma

Question 3

second most common type of thyroid cancer?

Answer 3

follicular carcinoma

Question 4

investigations of thyroid cancer?

Answer 4

ultrasound guided FNA of lesion

excision biopsy of lymph node

Question 5

clinical predictors of malignancy?

Answer 5

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

Question 6

treatment of thyroid cancer?

Answer 6

surgery= treatment of choice

Question 7

what is AMES?

Answer 7

age
mestastases
extend of primary tumour
size of primary tumour

Question 8

operation of choice for low AMES patients?

Answer 8

thyroid lobectomy with isthmusectomy

Question 9

operation of choice for high AMES patients/

Answer 9

sub total or total thyroidectomy

Question 10

what bound the anterior triangle superiorly?

Answer 10

mandible

Question 11

what bounds the anterior triangle medially?

Answer 11

midline

Question 12

what bound the anterior triangle laterally?

Answer 12

anterior border of sternocleidomastoid

Question 13

what bounds the posterior triangle medially?

Answer 13

posterior border of sternocleidomastoid

Question 14

what bounds the posterior triangle laterally?

Answer 14

anterior border of trapezius

Question 15

what bound the posterior triangle inferiorly?

Answer 15

clavical

Question 16

causes of superficial swellings?

Answer 16

sebaceous cysts
lipomas
neurfibromas

Question 17

causes of midline swellings?

Answer 17

thyroid
thyroglossal cyst
dermoid cyst

Question 18

causes of anterior triangle swellings?

Answer 18

lymph nodes
brachial cysts
salivary glands
carotid body tumour

Question 19

causes of posterior triangle swellings?

Answer 19

lymph nodes

cystic hygroma

Question 20

what is a dermoid cysts?

Answer 20

rare congenitial cyst
usually in teenage years

soft
non fluctulant

Question 21

what is a thyroglossal cyst?

Answer 21

contains lymphatics which may become infected

moves with tongue

usually in teenage years

Question 22

what is a brachial cysts?

Answer 22

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

” half filled water bottle”
can fistulate

Question 23

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

” half filled water bottle”
can fistulate

Answer 23

brachial cyst

Question 24

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

Answer 24

cystic hygroma

Question 25

investigation of thyroid swelling

Answer 25

exam-lypmh nodes , hoarse TSH USS-FNA