1. Thyroid Carcinoma: Presentation, Diagnosis & Management A Presentation by Augustin Brooks

5. 5 year survival of thyroid cancer (England and Wales)

7. 5-year age-standardised relative survival for thyroid cancer (England and Wales)

13. Anaplastic carcinoma of the thyroid

15. U/S showing thyroid carcinoma

17. FNA colloid goitre

18. Thy Classification Classification Histology Action Thy 1 Non-diagnostic Repeat FNAC (Unless cyst aspirated to dryness) Thy 2 Non-neoplastic Two non-neoplastic results 3-6/12 apart advised Thy 3 (i) Follicular lesion / suspected neoplasm Some cases will be hyperplastic nodules Surgical removal of the lobe. Completion thyroidectomy may be necessary if histology malignant Thy 3 (ii) Worrying features but cells too scanty to qualify for Thy 4 Discuss in MDT Repeat FNAC advised Thy 4 Suspicious of malignancy but not diagnostic Surgical intervention advised Thy 5 Diagnostic of malignancy Surgical intervention Consider radioT, chemoT

19. Papillary carcinoma

22. Papillary or Follicular Ca staging < 45 years > 45 years Stage I Any T, N & M0 pT1, N0, M0 Stage II Any T, N & M1 pT2, N0, M0 pT3, N0, M0 Stage III pT4, N0, M0 Any pT, N1, M0 Stage IV Any pT, N, M1 Undifferentiated or anaplastic carcinomas are ALL stage IV

23. 10 year mortality rate for DTC Stage 10 yr mortality (%) I 1.7 II 15.8 III 30 IV 60.9

38. Papillary carcinoma of thyroid. Iodine uptake scan showing residual thyroid tissue

45. Any questions?