MICROANATOMY

ENDOCRINE ORGANS AND RESPIRATORY SYSTEM

PARATHYROID

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Bila hasil FNABnya adalah medulary carcinoma tanpa tanda-tandaInfiltrasi ke struktur sekitar
A
Dapat dilakukan active surveillance meliputi USG Leher berkala setiap 6 bulan, pemeriksaan kalsitonin
B
Total Thyroidectomy dan Bilateral Radikal Neck Dissection Standar
C
Melakukan tinjau ulang PA Karena MTC tidak bisa didiagnosis dengan FNAB
D
Melakukan total thyroidectomy
Explanation: 

Detailed explanation-1: -Medullary carcinoma of the thyroid is cancer of the thyroid gland that starts in cells that release a hormone called calcitonin. These cells are called ā€œCā€ cells. The thyroid gland is located inside the front of your lower neck.

Detailed explanation-2: -Stage IVB medullary thyroid cancer. The tumor is any size and cancer has (a) spread to tissue in front of the spine or to the spine; or (b) surrounded the carotid artery; or (c) surrounded the blood vessels in the area between the lungs. Cancer may have spread to lymph nodes.

Detailed explanation-3: -Medullary thyroid cancer is primarily treated through surgery. The extent of surgery depends on the size of tumor, assessment of lymph nodes on the neck ultrasound, and results of blood tests above. In most patients, removal of the entire thyroid gland and surrounding lymph nodes is recommended.

Detailed explanation-4: -Context: Medullary thyroid carcinoma (MTC) is diagnosed only after thyroidectomy in approximately 10ā€“15% of cases.

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