{"id":113,"date":"2013-10-21T22:39:46","date_gmt":"2013-10-21T22:39:46","guid":{"rendered":"http:\/\/www.modestosurgery.com\/surgeryblog\/?p=113"},"modified":"2013-10-21T22:42:28","modified_gmt":"2013-10-21T22:42:28","slug":"types-of-thyroid-cancer","status":"publish","type":"post","link":"http:\/\/www.modestosurgery.com\/surgeryblog\/types-of-thyroid-cancer\/","title":{"rendered":"Types of Thyroid Cancer"},"content":{"rendered":"<h2><span style=\"color: #993366;\">Five main types of Thyroid Cancer<\/span><\/h2>\n<ol>\n<li><strong>Papillary Carcinoma (80%)<\/strong><\/li>\n<li><strong>Follicular Carcinoma (10%)<\/strong><\/li>\n<li><strong>Medullary Carcinoma (5%)<\/strong><\/li>\n<li>Hurthle Cell Carcinoma (4%)<\/li>\n<li>Anaplastic\/Undifferentiated Carcinoma (1-2%)<\/li>\n<\/ol>\n<h2><span style=\"color: #ff6600;\">P&#8217;s of Papillary Thyroid Cancer:<\/span><\/h2>\n<ul>\n<li>Popular (most common type &#8211; 80%)<\/li>\n<li>Psammoma bodies<\/li>\n<li><strong>Palpable Lymph Nodes &#8211; common<\/strong><\/li>\n<li>Positive Iodine 131 uptake<\/li>\n<li>Positive Prognosis<\/li>\n<li>Postoperative Iodine 131 to diagnose \/ treat metastasis if a total thyroidectomy was done.<\/li>\n<\/ul>\n<h2><span style=\"color: #ff6600;\">F&#8217;s of Follicular Cancer of the Thyroid<\/span><\/h2>\n<ul>\n<li>Far away metastasis (spreads hematogenously)<\/li>\n<li>FNA NOT (FNA cannot be done to diagnosis Follicular Cancer of the thyroid<\/li>\n<li>Female predominance (3:1)<\/li>\n<\/ul>\n<h2><span style=\"color: #ff6600;\">M&#8217;s of Medullary Cancer of the Thyroid<\/span><\/h2>\n<ul>\n<li>MEN II (Multiple Endocrine Neoplasia type II)<\/li>\n<li>aMyloid<\/li>\n<li>Median Lymph Node dissection<\/li>\n<li>Modified neck dissection if lateral nodes are positive<\/li>\n<\/ul>\n<ul>\n<li>Secretes Calcitonin<\/li>\n<li>Stimulated by Pentagastrin<\/li>\n<li>Cancer of the Thyroid C cells = parafollicular cells<\/li>\n<\/ul>\n<h4>Calcitonin (tumor marker for MTC)<\/h4>\n<ul>\n<li>Reduces blood levels of Calcium<\/li>\n<li>Opposed the effects of PTH (parathyroid hormone)<\/li>\n<li>Calcitonin is used as a tumor marker for medullary thyroid cancer (MTC)<\/li>\n<\/ul>\n<h4>Pentagastrin<\/h4>\n<ul>\n<li>Pentagastrin has effects like gastrin<\/li>\n<li>Pentagastrin is used as a stimulation test to elevate serotonin levels and cause symptoms of carcinoid syndrome, provoking flushing.<\/li>\n<li>Pentagastrin has been used to stimulate ectopic gastric mucosa for the detection of Meckels diverticulum by nuclear medicine.<\/li>\n<li>Pentagastrin-stimulated calcitonin test is a diagnostic test for MTC (Medullary carcinoma of the thyroid). \u00a0In patients with suspected MTC but borderline levels of calcitonin, injecting pentagastrin will cause calcitonin levels to rise tremendously.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_116\" aria-describedby=\"caption-attachment-116\" style=\"width: 275px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-content\/uploads\/2013\/10\/thyroid12.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-116\" alt=\"Thyroid Anatomy\" src=\"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-content\/uploads\/2013\/10\/thyroid12-275x300.jpg\" width=\"275\" height=\"300\" srcset=\"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-content\/uploads\/2013\/10\/thyroid12-275x300.jpg 275w, http:\/\/www.modestosurgery.com\/surgeryblog\/wp-content\/uploads\/2013\/10\/thyroid12.jpg 354w\" sizes=\"auto, (max-width: 275px) 100vw, 275px\" \/><\/a><figcaption id=\"caption-attachment-116\" class=\"wp-caption-text\">Thyroid Anatomy<\/figcaption><\/figure>\n<p>Picture from: <a href=\"http:\/\/www.washingtonendocrineclinic.com\/Thyroid-Care.html\">http:\/\/www.washingtonendocrineclinic.com\/Thyroid-Care.html<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Five main types of Thyroid Cancer Papillary Carcinoma (80%) Follicular Carcinoma (10%) Medullary Carcinoma (5%) Hurthle Cell Carcinoma (4%) Anaplastic\/Undifferentiated Carcinoma (1-2%) P&#8217;s of Papillary Thyroid Cancer: Popular (most common type &#8211; 80%) Psammoma bodies Palpable Lymph Nodes &#8211; common Positive Iodine 131 uptake Positive Prognosis Postoperative Iodine 131 to diagnose \/ treat metastasis if &hellip; <a href=\"http:\/\/www.modestosurgery.com\/surgeryblog\/types-of-thyroid-cancer\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Types of Thyroid Cancer<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,22],"tags":[236,238,237,235],"class_list":["post-113","post","type-post","status-publish","format-standard","hentry","category-cancer","category-thyroid","tag-calcitonin","tag-meckels","tag-mtc","tag-pentagastrin"],"_links":{"self":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/113","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/comments?post=113"}],"version-history":[{"count":3,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/113\/revisions"}],"predecessor-version":[{"id":117,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/113\/revisions\/117"}],"wp:attachment":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/media?parent=113"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/categories?post=113"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/tags?post=113"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}