Follicular thyroid cancer

  • Peak incidence 40 to 60 y, ♀:♂ 3:1; RFs: childhood radiation; FHx; familial syndrome
  • Mortality 10–20% at 20 y; mets frequently distal due to hematogenous spread
  • Hurthle cell carcinoma: pathologic dx; variant a/w poorer prognosis and ↑ recurrence rate