10% of malignant thyroid tumors

Papillary Adenocarcinoma
rubbery or even soft
Follicular Adenocarcinoma
Capsular invasion
Follicular Adenocarcinoma Classification Medullary Carcinoma
vascular invasion
Undifferentiated Carcinoma
lungs, skeleton, and liver

total thyroidectomy
functional modified radical
neck dissection
Rx
131I
suppressive doses of thyroid hormone
7% of malignant tumors
Familial medullary carcinoma occurs
in about 25% of patients
pheochromocytomas
MEN 2a Medullary Carcinoma
total thyroidectomy
131I
suppressive doses of thyroid hormone
85% of cancers thyroid gland
early adult life
presents as a solitary nodule
MALIGNANT TUMORS
THYROID intraglandular lymphatics
subcapsular lymph nodes
spreads
pericapsular lymph nodes
metastasize to lungs or bone
Papillary Adenocarcinoma
Psammoma bodies
total lobectomy with isthmectomy
near-total thyroidectomy
total thyroidectomy
Rx
functional modified radical neck dissection
suppressive doses of thyroid hormone

MALIGNANT TUMORS THYROID.mmap - 1/14/2008 -