thyroid cancer

Thyroid nodules (JAMA 2018;319:914) Papillary thyroid cancer Follicular thyroid cancer Anaplastic thyroid cancer (Endo Metab Clin NA 2019;48:269) Medullary thyroid cancer (Endo Metab Clin NA 2019;48:285)

Post-operative treatment

  • TSH suppression therapy with thyroxine oral tab
  • Mechanism
    • thyroid cancer expresses the TSH receptor on the cell membrane
    • TSH stimulate increasing the rate of cell growth

Radioiodine therapy

  • Remnant ablation: detection of 💨 recurrence ( 👁️ follow up with thyroglobulin) TG as 🃏 tumor marker
    • anti-Tg Ab
  • Adiuvant therapy: decreased risk of recurrence
  • RAl therapy: treat known persistent disease