Thyroid Questions

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Q) Which of the following thyroid cancers do not take up radio active iodine a) Medullary carcinoma thyroid b) Papillary  carcinoma c) Follicular carcinoma d) Hurthle cell carcinoma Free Answer a – Medullary carcinoma Medullary carcinoma of the thyroid is a tumor that arises from the C cells ie the parafollicular cells and not from cells of thyroid follicles. These are not TSH dependent and hence do not take up radioactive iodine Hurthle cell carcinoma is a variation of follicular carcinoma only. In these tumors lymph node involvement is about 60% Bailey page 769  

Multinodular goitre

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Q . Management of Multinodular goitre with dysphagia and pain  neck in 35 year old lady a) Iodine treatment b) Surgery c) Thyroxine (T3 and T4) d) FNAC and Radioactive Iodine Annswer for premium member