Name the 5 types of thyroid cancer
- Papillary
- Folicular
- Medullary
- Anaplastic
What are the features of papillary adenoma and who is it most common in
Most common in Young people
- Painless
- Slow growing
- Multi-focal
What are the features of Folicular adenoma and who is it most common in
Most common in Middle Aged people
- Painless
- Slow growing
- single nodule
What is Medullary adenoma associated with
Associated with MEN syndrome
What are the features of Anaplastic adenoma and who is it most common in
most common in the elderly
- rapid growing
- Painfull nodule
What is the treatment of papillary adenoma?
- THyrodectomy
- Node resection
- Radioactive iodine
- Thyroxine for life
What is the treatment of Folicular adenoma?
- Throdectomy
What is the treatment of Medullary adenoma?
- Thryoidectomy
- Node resection
- +/- radiotherapy
What is the treatment of anapaestic adenoma?
thyroid removal and radiotherapy
What investigations would you do in a patient with suspected thyroid cancer
- TFTs
- Calcitonin (calcitonin is made by C cells in the thyroid and can be raised in medullary thyroid cancer)
- CAE (tumour marker)
- TPO (for AI thyroid disease)
- TSH - AB
- USS - 1st line
- radioactive iodine scan
- FNAC
what antibodies would be present in hyperthyroidism
anti TSH
whats the side effect of clorpromazole
agranulocytosis
What would cause a painful goitre in someone who was hyperthyroid?
Toxic multi nodular goitre
