Question
A patient has undergone the procedure for papillary carcinoma of thyroid as shown in the picture below. Marker for follow-up of such a patient is ?
A. Thyroglobulin.
B. Calcitonin.
C. TSH.
D. Serum iodine levels.
Show Answer
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Correct Answer » A Explanation |
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The type of thyroidectomy shovrn in the photograph above represents total thyroidectomy.
The measurement of serum thyroglobulin is of value in the follow-up and detection of metastatic disease in patients who have undergone surgery for differentiated thyroid carcinoma
Differentiated thyroid carcinoma includes follicular and papillary neoplasms
Thyroid carcinoma which is:
- MC type: Papillary
- Least common type: Anaplastic
- Best prognosis: Papillary
- Worst prognosis: Anaplastic
- Developing in thyroglossal cyst: Papillary
- Spreading by lymphatics: Papillary
- Psammoma bodies: Papillary
- Least malignant: Papillary
- Hurthle cell variant: Follicular
- Arising from parafollicular/ C cells: Medullary
- Associated with MEN II: Medullary
- Secrete calcitonin: Medullary
- Associated with RET proto-oncogene: Medullary.