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7 Cards in this Set

  • Front
  • Back
What are the 4 distinct types of thyroid cancer?
papillary
follicular
medullary
anaplastic

(surgery indicated for all except anaplastic as prognosis is poor with anaplastic)
What is the initial manifestation of thyroid cancer?
single, painless lump or nodule in thyroid gland

(other locations depends on if it metastasizes)
What is papillary carcinoma?
mot common type of thyroid
cancer
occurs most in younger women
slow-growing tumor which may

be present for years before
spreading to nearby lymph
nodes
if confined to gland, chance
for cure is good with
partial or total
thyroidectomy
What is follicular carcinoma?
25% of all thyroid cancers
occur in older clients..
invades blood vessels and spreads to bone and lung tissue..
can adhere to trachea, neck muscles, great vessels, and skin, resulting in dyspnea and dysphagia..
hoarse voice may occur if laryngeal nerves involved..
prognosis fair if no metastasis
What is medullary carcinoma?
accounts for 5% to 10% of thyroid cancers..
most common in 50yo or older
often occurs as part of multiple endocrine neoplasia (MEN) type II
may secrete calcitonin, adrenocorticotropic hormone ACTH, prostaglandsin, and serotonin
What is anaplastic carcinoma?
rapid-growing, aggressive tumor that directly invades nearby structures ... manifestations include stridor, hoarseness, and dysphagia...prognosis poor
What is collaborative treatment for thyroid cancer?
total thyroidectomy with nodal neck dissection if regional lymph nodes are involved..
rx for suppressive doses of thyroid hormone for 3 months after surgery...
radioactive iodine uptake study performed after drugs withdrawn...if there's RAIU uptake, client is treated with ablative amounts of RAI...if RAI fails, start chemotherapy