PAPILLARY CARCINOMA PDF Print E-mail
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Friday, 11 December 2009 08:55
PAPILLARY CARCINOMA

Age: Any age, but common in children with good prognosis.
Incidence: 50% of all thyroid carcinoma.
Growth: Slow, low grade malignancy.
Pathology:
Ä MAC: Soft, partially cystic mass which may reach large size.
Ä MIC: Branching papilliferous masses of hyperplastic cells.
Small calcified areas (Psammoma bodies) are seen and help in differentiation from benign tumours.
Ä Spread: Early lymphatic spread ® deep cervical lymph nodes ® Lat. aberrant thyroid.
Treatment:
1- Total thyroidectomy and bilateral or unilateral block dissection.
2- Thyroxine is given ® to suffice the need of the patient.
® to suppress the tumour development as it seem to be dependent on T.S.H
3- Radioactive iodine uptake is poor and has no role except in cases mixed with folliculr type.

SOURCE: Prof. AYMAN SALEM'S BOOK
Copyright: (Vascular Society of Egypt ) & (Medical Educational web)
Not to be reproduced without permission of Vascular Society of Egypt

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