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Thyroid Neoplasm
Thyroid Tumor

Presentation

Our patient demographics include large thyroid nodules at presentation with an average nodule size of 4cm but presenting goitres can exceed 20cm in diameter. [medlabme.com]

Presentation of case series. By presenting six illustrative cases of NIFTP, this article aims to highlight the diagnostic criteria and the burden difficulties when dealing with NIFTP cases. [content.sciendo.com]

They are more frequently present with lymph node involvement. Despite this apparently more aggressive presentation, the prognosis is excellent. [orpha.net]

In this system, patient age at presentation influences the clinical staging of a thyroid carcinoma. [entokey.com]

Clinics Most patients with oncocytic neoplasms are euthyroid and present with a thyroid nodule. [atlasgeneticsoncology.org]

Entire Body System

  • Marfanoid Habitus

    MEN 2B consists of MTC, pheochromocytoma (in 50% of patients), marfanoid habitus, and ganglioneuromatosis. FMTC consists of MTC alone. MTC in MEN 2B has the most aggressive biologic features. [emedicine.medscape.com]

Workup

Workup for hyperparathyroidism includes measurement of serum calcium and parathyroid hormone16. [current-oncology.com]

Immunohistochemistry was not done for routine workup of the cases.[7] Adjacent thyroid was examined for the presence of lymphocytic/Hashimoto's thyroiditis. If lymph node dissection was done, their number/involvement was noted. [ijpmonline.org]

[…] prognosis.5 Fine-needle aspiration cytology (FNAC) has proven in the past decades to be a safe, minimally invasive, accurate, and cost-effective diagnostic technique.6 In an appropriate clinicoradiologic setting, FNAC can play a key role in the diagnostic workup [meridian.allenpress.com]

Lesions greater than 1 cm in size warrant a complete workup. [entokey.com]

You can read more information about thyroid nodules and their potential to be malignant in our articles below: Introduction to Thyroid Nodules The Workup of Thyroid Nodules and the Role of Fine Needle Aspiration (FNA) Biopsy The Role of Thyroid Ultrasound [endocrineweb.com]

Treatment

Drugs and Other Treatments for Thyroid Neoplasms Depending on the type of thyroid neoplasm the patient is diagnosed with, the specialist will recommend one of the following treatment methods: Benign neoplasm treatment » Hyperthyroidism neoplasm treatmen [marinahospital.com]

In addition, thyroid ultrasound is valuable in supporting diagnoses process and treatment such as inserting needles and aspirating from thyroid neoplasm, liquid injection, laser treatment and monitoring treatment effect. [benhviendakhoatinhphutho.vn]

Most thyroid cancer can be cured with appropriate treatment. Thyroid cancer usually appears as nodules within the thyroid gland. [nm.org]

But some of the patients whose tumors had broken out of their capsules had complications, including death, from thyroid cancer despite treatment. [nytimes.com]

Conclusion: Our study favors the low risk nature of NIFTP with no disease recurrence in the cases studied and encourages de-escalation of treatment. doi: https://doi.org/10.12669/pjms.36.2.1123 How to cite this: Jabeen S, Fatima S, Sheikh A, Islam N. [pjms.org.pk]

Prognosis

Prognosis Prognosis is generally good in most patients, but about 5% of cases are fatal. Those below age 55 years with tumor size below 4 cm have a particularly good prognosis. Those with distant metastatic disease have a poorer prognosis. [orpha.net]

The name NIFTP aptly conveys this lesion’s prognosis and histologic features. [hindawi.com]

General Encapsulated thyroid tumours with nuclear papillary-like features without invasion have a good prognosis, and labelling them as cancer is probably not unwarranted.[2] Can only be diagnosed on excisional specimens where the entire tumour capsule [librepathology.org]

Furthermore, a subgroup of poorly differentiated HC carcinomas with a poorer prognosis has been identified, which is usually resistant to radioactive iodine. [elsevier.es]

Prognosis The extent of tumor invasion determines the prognosis in oncocytic carcinomas. [atlasgeneticsoncology.org]

Etiology

In 2015, 765,547 patients living with thyroid cancer in the United States Etiology and Pathophysiology No established etiologic factors of pathogenesis; most cases arise spontaneously. [unboundmedicine.com]

Etiology DTC arise from the epithelial cells of the thyroid gland. Most DTCs are sporadic and without known cause. Ionizing radiation predisposes to PTC. Iodine deficiency is associated with an increased risk of FTC. [orpha.net]

[from NCI] Etiology Thyroid 2019 Feb;29(2):222-228. Epub 2018 Dec 21 doi: 10.1089/thy.2018.0394. PMID: 30426887 Kim M, Jeon MJ, Han M, Lee JH, Song DE, Baek JH, Kim TY, Kim WB, Shong YK, Kim WG Thyroid 2019 Feb;29(2):216-221. [ncbi.nlm.nih.gov]

Note Widely invasive oncocytic thyroid carcinoma Etiology Unknown. The precise cellular derangements that lead to the abnormal accumulation of mitochondria in oncocytes and tumor development are obscure. [atlasgeneticsoncology.org]

Epidemiology

Summary Epidemiology The annual incidence of differentiated thyroid cancer (DTC) is about 1/10,000, and the incidence appears to be increasing. The female to male ratio is about 3:1. [orpha.net]

Epidemiology Incidence: 14.5/100,000 per year in the United States Deaths: 0.5/100,000 per year in the United States In 2018, estimated 53,990 new cases and 2,060 deaths from thyroid cancer in the United States Predominant age: usually >40 years old Predominant [unboundmedicine.com]

Epidemiology About 40% of the general adult population have a single nodule or multiple ones. They are more common in women. Most nodules are benign. [patient.info]

CrossRefPubMed Cramer JD, Fu P, Harth KC, Margevicius S, Wilhelm SM (2010) Analysis of the rising incidence of thyroid cancer using the surveillance, epidemiology and end results national cancer data registry. Surgery 148:1147–1153. [springermedizin.de]

Epidemiology The mean age at diagnosis was 43 years for adenomas and 52 for oncocytic carcinomas in a recent series. There is a female preponderance in both subgroups, with a female-to-male ratio of 8:1 in adenomas and 2:1 in carcinomas. [atlasgeneticsoncology.org]

Pathophysiology

In 2015, 765,547 patients living with thyroid cancer in the United States Etiology and Pathophysiology No established etiologic factors of pathogenesis; most cases arise spontaneously. [unboundmedicine.com]

[…] tumor to normal interface to exclude capsular invasion Most commonly associated molecular alterations are RAS mutations Indolent disease course with excellent long term survival (following surgical excision; lobectomy / partial thyroidectomy sufficient) Pathophysiology [pathologyoutlines.com]

Prevention

Prevention Doctors aren't sure what causes most cases of thyroid cancer, so there's no way to prevent thyroid cancer in people who have an average risk of the disease. [mayoclinic.org]

Prevention Because most people with thyroid cancer have no known risk factor, it is not possible to completely prevent this disease. However, inherited cases of medullary thyroid cancer can be prevented and radiation to the neck is avoided. [medical-dictionary.thefreedictionary.com]

Preventing thyroid cancer There are no proven measures to prevent thyroid cancer. However, if familial medullary thyroid cancer is detected in a family, the rest of the family can be tested for the mutated gene. [cancer.org.au]

By avoiding radiation, especially during childhood, by not smoking, by doing certain tests that can reveal your predisposition for thyroid problems, you can prevent the formation of thyroid neoplasms. [marinahospital.com]

Ninety-four cases of encapsulated follicular variant of papillary thyroid carcinoma: a name change to Noninvasive Follicular Thyroid Neoplasm with Papillary-like Nuclear Features would help prevent overtreatment. [archivesheadnecksurgery.com]

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