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17 Cards in this Set
- Front
- Back
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q
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anaplastic- directly invade neck and head structures
follicular is mostly in elderly and hematogen spread |
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best initial step
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TFT
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if TFT is normal what to do
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ds- non functional thyroid nodule-- exclude malignancy
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if TFT is low what to do
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most likely ds- toxic multinodular goiter-- do thyroid scintiograpaphy
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if TFT is high what to do
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most likely it is hasgimoto thyroiditis-->get serum anti thyroperopxidase antibodies
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when TFT is normal , best next step is
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fine needle aspiration biopsy ( FNA)
10-10 % will be inadequate samples, 85 % will be benign adenomatoid cellular or cystic cells |
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when TFT is normal , best next step is FNA and if the result is malignancy - what to do
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surgical resection
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when TFT is normal , best next step is FNA and if the result is indeterminant malignancy what to do
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thyroid scintiography
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when TFT is normal , best next step is FNA and if the result is indeterminant malignancyand on the thyroid scintiography wil be cold nodule what to do
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non functioning--- proceed to surgery
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when TFT is normal , best next step is FNA and if the result is indeterminant malignancyand on the thyroid scintiography wil be hot nodule what to do
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functioning-- observe
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when TFT is normal , best next step is FNA and if the result is benign - what to do
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clinical observation
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when TFT is normal , best next step is FNA and if the result is nondiagnostic - what to do
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repeat FNA or US guidedFNA
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can u distinguish the malignant and benign follicular neoplasm
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no, but in papillary carcinoma u can
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