Dx: Do thyroid function test (TSH most important) → FNA
|
If the patient has a nodule:
|
|
Do thyroid function tests (T4 and TSH)
If normal à biopsy of the gland.
|
|
Papillary
|
Most Popular – Psammoma body – Post-radiation – Tx: Surgery / Radiation + Surgery (if big tumor)
|
|
Follicular
|
Spread hematogenously – dont use FNA – Tx: total thyroidectiomy –> Radiation
|
|
Medullary
|
MEN syndrome – Calcitonin – Tx: surgery
|
|
Anaplastic
|
Most aggressive, least common.
|
Fast HY Review 