Thyroid Cancer甲状腺癌课件.pptx

Thyroid Cancer;Thyroid Cancer;Classification Incidence of Thyroid Cancer;Papillary Carcinoma;Follicular Carcinoma;Follicular Carcinoma;Hurthle Cell Carcinoma;Anaplastic Carcinoma;Medullary Thyroid Carcinoma;Medullary Thyroid Carcinoma;Lymphoma of the Thyroid;45 year old female presents to your office with a thyroid nodule. What questions will you ask her?;History;45 year old female with thyroid nodule;Physical Exam;Physical Exam;Evaluating a thyroid nodule;Evaluating a thyroid nodule;Evaluating a thyroid nodule;Evaluating a thyroid nodule;Evaluating a thyroid nodule;Evaluating a thyroid nodule;Evaluating a thyroid nodule;45 year old female with thyroid nodule;Management of Papillary Carcinoma;Management of Papillary Cancer;Management of Papillary Cancer;Surgical Anatomy: Lymphatics;Surgical Anatomy: Lymphatics;45 year old female with papillary carcinoma Patient opted to have a total thyroidectomy and surgical specimen demonstrated unifocal disease with capsular invasion and negative LN. Does she have a favorable or unfavorable prognosis?;Prognostic Risk Classification for Patients with Well-Differentiated Thyroid Cancer;Management of Papillary Cancer;45 year old female with papillary carcinoma;45 year old female with thyroid nodule;Management ofFNA suspicious for follicular neoplasm ? Lobectomy would be a reasonable surgical procedure, particularly in low-risk patient who prefers limited surgical intervention ? Near-total or total thyroidectomy still recommended for high-risk patient and/or large tumor size;Management ofFNA suspicious for follicular neoplasm;45 year old female with thyroid nodule;Post-operative radioiodine remnant ablation;TMN Classification for differentiated thyroid cancer;45 year old female with thyroid nodule;Recommendations for folloyv-up (differentiated cancers);Management of recurrent and metastatic disease ? Surgery mainstay of treatment for locoregional disease 9 radioiodine — radiation ? Metastatic disease treated with radioiodine 一 Older