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thyroid carcinomas

Monday 24 June 2013

WHO Classification (2004)

- Thyroid carcinomas

  • thyroid papillary carcinoma
  • thyroid follicular carcinoma
  • thyroid poorly differentiated carcinoma
  • thyroid undifferentiated carcinoma (thyroid anaplastic carcinoma)
  • anaplastic squamous cell carcinoma
  • Mucoepidermoid carcinoma
  • anaplastic sclerosing mucoepidermoid carcinoma with eosinophilia
  • anaplastic mucinous carcinoma
  • medullary thyroid carcinoma
  • mixed medullary and follicular cell carcinoma
  • spindle cell tumor with thymus-like differentiation (SETTLE)
  • carcinoma showing thymus-like differentiation (CASTLE)

TNM staging system 2007

Primary tumor (T)

- TX Primary tumor cannot be assessed
- T0 No evidence of primary tumor
- T1 Tumor 2 cm or less in its greatest dimension, limited to the thyroid
- T2 Tumor more than 2 cm, but not more than 4 cm in its greatest dimension, limited to the thyroid
- T3 Tumor more than 4 cm in its greatest dimension limited to the thyroid or any
tumor with minimal extrathyroidal extension (e.g., extension to sternothyroid
muscle or perithyroid soft tissues)
- T4a Tumor of any size extending beyond the thyroid capsule to invade
subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve
- T4b Tumor invades prevertebral fascia or encases carotid artery or mediastinal vessels

Regional lymph nodes (N)
- NX Regional lymph nodes cannot be assessed
- N0 No regional lymph node metastasis
- N1 Regional lymph node metastasis

  • N1a Metastasis to level VI (pretracheal, paratracheal, and prelaryngeal/Delphian lymph nodes)
  • N1b Metastasis to unilateral, bilateral, or contralateral cervical or superior mediastinal lymph nodes

Distant metastasis (M)
- MX Distant metastasis cannot be assessed
- M0 No distant metastasis
- M1 Distant metastasis

- http://xa.yimg.com/kq/groups/19873088/582898492/name/TNM+no+ca+de+tireoide+-+2007.pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1877011/

See also

- thyroid adenomas and related tumors:

  • follicular adenoma
  • hyalinizing trabecular tumor

- Other thyroid tumors:

  • thyroid teratoma
  • primary thyroid lymphomas and thyroid plasmacytoma
  • ectopic thymoma
  • thyroid angiosarcoma
  • thyroid smooth muscle tumors
  • thyroid peripheral nerve sheath tumors
  • thyroid paraganglioma
  • thyroid solitary fibrous tumor
  • thyroid follicular dendritic cell tumor
  • thyroid Langerhans cell histiocytosis
  • thyroid secondary tumors

Presentations

- Management of Invasive Thyroid Carcinoma. Camysha Wright, MD, Vicente Resto, MD, PhD. 2007; http://www.utmb.edu/otoref/grnds/thyroid-CA-070502/thyroid-CA-slides-070502.pdf