robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
A 27 yo man is found to have solitary thyroid during nodule a routine health maintence exmanination. A thyroid scintiscan shows uptake radioactive iodine by the nodule. Which of the following is the most likely diagnosis?
A. Follicular adenoma
B. Hashimotos
C Papillary carcinoma
D.Granulomatous thyroiditis
E.Medullary carcinoma
Sorry I do not have the ans for this question
___________________
The Key to Succeed is Patience.
|
| Geroo
Forum Guru
Topics: 114
Posts: 799
|
I go with A
Edited by Geroo on 12/03/05 - 11:08 PM
|
| Thunderball65
Forum Newbie
Topics: 3
Posts: 34
|
Might need a little more info. a hot nodule is rarely cancerous and is usually seen in the elderly.
a cold nodule has a greater potential for being cancerous, and is usually seen in young males and children
papillary is the most common thyroid Ca. but is is usually considered "cold nodule"
can somone explain hot nodule and cold nodule better please.
if i have to choose i would choose C.
|
| ing
Forum Guru
Topics: 45
Posts: 435
|
Nodules which do not take up iodine ---- "cold " nodules
Nodules which do take up most of the iodine ---- "hot " nodules
Nodules take up the same amount iodine as the rest of the gland ---- "warm" nodules
It's only cold nodule that may be malignant.
A looks like right answer.
___________________
Never give up!!
|
| anu_millenium
Forum Newbie
Topics: 5
Posts: 23
|
i guess hashimotos is the ans..it does take up the iodine stain
|
| ing
Forum Guru
Topics: 45
Posts: 435
|
hashimotos is most common in women and individuals with a family history of thyroid disease.
___________________
Never give up!!
|
| K1
Forum Senior
Topics: 4
Posts: 64
|
Hot nodule =follicular adenoma . In Hashimoto disease the thyroid is affected diffusely. No nodules and the radioactive iodine uptake should be decreased due to thyroid destruction
|
| icefires
Forum Junior
Topics: 8
Posts: 56
|
A
|
| msyamp
Forum Fanatic
Topics: 60
Posts: 1,462
|
yes A
___________________
If you think you can You can! If you think you cant you are right again!!
|
| Thunderball65
Forum Newbie
Topics: 3
Posts: 34
|
Will a papillary carcinoma take up iodine?
|
| msyamp
Forum Fanatic
Topics: 60
Posts: 1,462
|
no carcinoma takes up iodine
___________________
If you think you can You can! If you think you cant you are right again!!
|
| twesting2173
Forum Senior
Topics: 7
Posts: 65
|
its a. recall that a follicualr adenoma is benign. there is a beingin version (foll carcinoma--invade vessels) and then this bening version. there is no such thing as a benign papillar or benign medullay "adenoma." all of them are cancer. so, since this is benign, it is producing thyroid...but at a higher rate...so its a hot nodule. the tissue is stiull normal...there is just more of it. on the other hand...cancers are abnomrla tissue and therfore dont produce hormone and thus dont take up iodide.
hashimoto may present with idoide up take INITIALLY, but int he end, it's a HYPO thyrodism and will thus produce less thyroid (take up less iodid).
sorry about all the misspellings....i'm so nervous..i'm taking this beast tomorrow. any prayes woudl be apprecatred for me. thanks everyone.
|
|
| |
| | | | | | | | | | | | |
