4 Types, Clinical Manifestations and Management of Thyroid Carcinoma

4 Types, Clinical Manifestations and Management of Thyroid Carcinoma Welcome to Nursing Diagnosis, this time I will give information about the world, namely the 4 Types, Clinical Manifestations and Management of Thyroid Carcinoma. I will present information about the 4 Types, Clinical Manifestations and Management of Thyroid Carcinoma
.

4 Types, Clinical Manifestations and Management of Thyroid Carcinoma

Thyroid carcinoma including malignant disease group with a relatively good prognosis, but clinical propagation are difficult to predict. Clients with Thyroid Ca experiencing high stress and anxiety. Nurses obtain basic data on the client based on the level of knowledge of the disease, coping skills and family relationships. The nurse encourages the client to express their fears and discuss the disease.

Histological

According to WHO, malignant epithelial tumors of the thyroid are divided into:

• Follicular carcinoma.
• Papillary carcinoma.
• Medullary carcinoma.
• Poorly differentiated carcinoma (anaplastic).
• Others.

According to Mc Kenzi (1971), there are 4 types of different thyroid carcinoma tissues used for day-to-day implementation, namely:

• Papillary thyroid carcinoma.
• Follicular thyroid carcinoma.
• Medullary thyroid carcinoma.
• Anaplastic thyroid carcinoma.

The initial clinical manifestations of thyroid carcinoma is a form of solitude and a nodule in the thyroid gland that is painless. Signs and symptoms depend on the presence or absence of additional metastases as well as the location of metastases (spread of cancer cells) itself.


1. Papillary carcinoma.
Is a type of thyroid cancer that is often found, much to the women or the age group above 40 years. Papillary carcinoma is a slow-growing tumor and can appear many years before spreading to regional lymph nodes. When the tumor is localized in the thyroid gland, the prognosis is good if the action is a partial or total thyroidectomy.

2. Follicular carcinoma.
There is approximately 25% of all existing thyroid carcinoma, especially regarding the age group above 50 years. Attack the blood vessels which then spread to the bone and lung tissue. Rarely spread to the lymph nodes but can be attached / stuck in the trachea, neck muscles, large blood vessels and skin, which then causes dyspnea and dysphagia. When a tumor on "The recurrent laryngeal Nerves", the client becomes hoarse voice. The prognosis is good if the metastases are still little, at the time of diagnosis set.

3. Medullary carcinoma.
Arising in the thyroid parafollicular tissue. The number of 5-10% of all thyroid carcinomas and generally the people aged over 50 years. Spread past the lymph nodes and invade surrounding structures. These tumors often occur and are part of the Multiple Endocrine Neoplasia (MEN) Type II is also part of the endocrine diseases, in which there is excessive secretion of calcitonin, ACTH, prostaglandins and serotonin.

4. Anaplastic carcinoma.
The tumor is growing quickly and outstanding aggressive. This type of cancer directly invading adjacent structures, which give rise to symptoms such as:

• Stridor (sound raspy / hoarse voice sounded loud breath)
• Hoarseness.
• Dysphagia.

The prognosis is bad and most of the clients died about 1 year after diagnosis set. Clients with a diagnosis of anaplastic carcinoma can be treated with palliative surgery, radiation and chemotherapy.


Clinical Manifestations of Thyroid Carcinoma

Clinical suspicion of thyroid carcinoma is based on the observation that was confirmed by pathological examination and suspicion are divided into high, medium and low. Which includes high index of suspicion is:

• History of multiple endocrine neoplasia in the family.
• Rapid tumor growth.
• Palpable hard nodules.
• Fixation surrounding area.
• Paralysis of the vocal cords.
• Enlargement of the regional lymph nodes.
• The presence of distant metastases.

Moderate suspicion:

• Age less than 20 years, or more than 60 years.
• History of neck radiation.
• Sex man with a solitary nodule.
• It is not clear fixation surrounding area.
• Diameter greater than 4 cm and cystic.

Low suspicion:

• Signs or symptoms outside / in addition to that mentioned above

Thyroid carcinoma clinically divided into classes, namely:

• Infra Thyroid.
• Neck glands Spleen metastasis.
• Extra Thyroid invasion.
• Far metastasis.

Clinical symptoms that can be found around the organs suppression, disruption and pain when swallowing, difficulty breathing, hoarseness, cervical lymphadenopathy and distant metastasis can occur. Most often to the lungs, bones and liver.

Management of Thyroid carcinoma

1. Surgery (thyroidectomy).
2. Radiation internal / external.
3. Chemotherapy.
4. Hormonal.
5. Others.

Evaluation

Made by examining fingerprints all over the body, combined with examination tiroiglobulin levels (Tg) serum periodically in the first 3-6 months. Tg is influenced by TSH and is likely to increase if there is residual thyroid gland. Tg levels less than 1 ng ml during the hormone was stopped, suggesting ablation therapy has been successful. Tg is considered as a sign of thyroid carcinoma is quite sensitive but not specific. The level of calcitonin for medullary carcinoma is an indication of metastasis.
Periodic evaluation is very important because thyroid carcinoma which has been declared successful ablation after 5-10 years turns malignant process could arise again. Recommended control 1 year for the first 5 years after total ablation declared successful, then once every 2 years.

Thank you for reading our 4 Types, Clinical Manifestations and Management of Thyroid Carcinoma article. Hopefully you can benefit from here. And here are a few articles that you may also find:

nursing diagnosis, nursing diagnosis for hypertension, nursing diagnosis for pneumonia, nursing diagnosis for copd, nursing diagnosis for pain, nursing diagnosis for depression, nursing diagnosis for diabetes, nursing diagnosis for anemia, nursing diagnosis handbook, nursing diagnosis for anxiety, nursing diagnosis list, nursing diagnosis anxiety, nursing diagnosis acute pain, nursing diagnosis application to clinical practice, nursing diagnosis and interventions, nursing diagnosis anemia, nursing diagnosis activity intolerance, nursing diagnosis asthma, nursing diagnosis altered mental status, nursing diagnosis and intervention for nephrotic syndrome, nursing diagnosis acute renal failure, nursing diagnosis book, nursing diagnosis book pdf, nursing diagnosis body image, nursing diagnosis bleeding, nursing diagnosis bowel obstruction, nursing diagnosis bipolar, nursing diagnosis by nanda, nursing diagnosis breast cancer, nursing diagnosis back pain, nursing diagnosis bowel incontinence, nursing diagnosis constipation, nursing diagnosis copd, nursing diagnosis cellulitis, nursing diagnosis chf, nursing diagnosis chronic pain, nursing diagnosis chest pain, nursing diagnosis cholecystectomy, nursing diagnosis concept map, nursing diagnosis cva, nursing diagnosis coronary artery disease, nursing diagnosis definition, nursing diagnosis diabetes, nursing diagnosis depression, nursing diagnosis dehydration, nursing diagnosis decreased cardiac output, nursing diagnosis dementia, nursing diagnosis diarrhea, nursing diagnosis dvt, nursing diagnosis deficient knowledge, nursing diagnosis diverticulitis, nursing diagnosis examples, nursing diagnosis electrolyte imbalance, nursing diagnosis edema, nursing diagnosis examples for pain, nursing diagnosis education, nursing diagnosis evaluation, nursing diagnosis epilepsy, nursing diagnosis emphysema, nursing diagnosis esrd, nursing diagnosis etiology, nursing diagnosis for fever, nursing diagnosis for uti, nursing diagnosis gi bleed, nursing diagnosis generator, nursing diagnosis gerd, nursing diagnosis goals, nursing diagnosis grieving, nursing diagnosis gout, nursing diagnosis guidelines, nursing diagnosis glomerulonephritis, nursing diagnosis guillain barre syndrome, nursing diagnosis guidebook, nursing diagnosis handbook pdf, nursing diagnosis hypertension, nursing diagnosis handbook 11th edition, nursing diagnosis handbook 10th edition pdf, nursing diagnosis hypoglycemia, nursing diagnosis head injury, nursing diagnosis hopelessness, nursing diagnosis hypotension, nursing diagnosis hyperglycemia, nursing diagnosis infection, nursing diagnosis impaired gas exchange, nursing diagnosis ineffective coping, nursing diagnosis impaired mobility, nursing diagnosis impaired skin integrity, nursing diagnosis ineffective tissue perfusion, nursing diagnosis immobility, nursing diagnosis impaired comfort, nursing diagnosis insomnia, nursing diagnosis impaired urinary elimination, nursing diagnosis journal, nursing diagnosis jaundice newborn, nursing diagnosis jokes, nursing diagnosis joint pain, nursing diagnosis juvenile diabetes, nursing diagnosis joint replacement, nursing diagnosis jaundice tests, nursing diagnosis juvenile rheumatoid arthritis, nursing diagnosis jehovah witnesses, nursing diagnosis junctional dysrhythmias, nursing diagnosis knowledge deficit, nursing diagnosis kidney failure, nursing diagnosis knowledge deficit related to medication, nursing diagnosis knowledge deficit diabetes, nursing diagnosis knowledge deficit related to diabetes, nursing diagnosis knee replacement, nursing diagnosis kidney transplant, nursing diagnosis knowledge deficit related to pregnancy, nursing diagnosis knee pain, nursing diagnosis knowledge deficit related to smoking, nursing diagnosis list 2015, nursing diagnosis labor and delivery, nursing diagnosis lung cancer, nursing diagnosis list for postpartum hemorrhage, nursing diagnosis low hemoglobin, nursing diagnosis list 2016, nursing diagnosis lupus, nursing diagnosis leukemia, nursing diagnosis loneliness, nursing diagnosis manual, nursing diagnosis malnutrition, nursing diagnosis meningitis, nursing diagnosis meaning, nursing diagnosis mental health, nursing diagnosis metabolic acidosis, nursing diagnosis manual 4th edition, nursing diagnosis mobility, nursing diagnosis mi, nursing diagnosis mrsa, nursing diagnosis nanda, nursing diagnosis nutrition, nursing diagnosis newborn, nursing diagnosis nausea, nursing diagnosis noncompliance, nursing diagnosis nanda 2016, nursing diagnosis nephrotic syndrome, nursing diagnosis nclex questions, nursing diagnosis nutrition imbalance, nursing diagnosis neutropenia, nursing diagnosis of hypertension, nursing diagnosis of pneumonia, nursing diagnosis of fever, nursing diagnosis of diabetes mellitus, nursing diagnosis of anemia, nursing diagnosis of asthma, nursing diagnosis of meningitis, nursing diagnosis of schizophrenia, nursing diagnosis of fracture, nursing diagnosis of appendicitis, nursing diagnosis pain, nursing diagnosis pneumonia, nursing diagnosis pdf, nursing diagnosis postpartum, nursing diagnosis pocket guide, nursing diagnosis powerlessness, nursing diagnosis pressure ulcer, nursing diagnosis pancreatitis, nursing diagnosis post op, nursing diagnosis psychosis, nursing diagnosis quizlet, nursing diagnosis questions, nursing diagnosis questions quizlet, nursing diagnosis quizzes, nursing diagnosis quadriplegic, nursing diagnosis quotes, nursing diagnosis quit smoking, nursing diagnosis quality of life, nursing diagnosis questions and answers, nursing diagnosis qualifiers, nursing diagnosis risk for infection, nursing diagnosis risk for falls, nursing diagnosis related to, nursing diagnosis related to hypertension, nursing diagnosis related to pain, nursing diagnosis related to diabetes, nursing diagnosis related to anemia, nursing diagnosis reference manual, nursing diagnosis risk for, nursing diagnosis risk for injury, nursing diagnosis thrombocytopenia, nursing diagnosis template, nursing diagnosis threatened abortion, nursing diagnosis tachycardia, nursing diagnosis taxonomy, nursing diagnosis tia, nursing diagnosis tissue perfusion, nursing diagnosis teaching, nursing diagnosis types, nursing diagnosis tetralogy of fallot, nursing diagnosis uti, nursing diagnosis urinary incontinence, nursing diagnosis urinary retention, nursing diagnosis upper respiratory infection, nursing diagnosis uk, nursing diagnosis upper gi bleed, nursing diagnosis ulcer, nursing diagnosis unilateral neglect, nursing diagnosis urinary, nursing diagnosis uti sepsis, nursing diagnosis vs medical diagnosis, nursing diagnosis vomiting, nursing diagnosis ventilator, nursing diagnosis vision impairment, nursing diagnosis vomiting nausea, nursing diagnosis vertigo, nursing diagnosis vsd, nursing diagnosis ventricular tachycardia, nursing diagnosis vascular dementia, nursing diagnosis weakness, nursing diagnosis with interventions, nursing diagnosis wound, nursing diagnosis weight loss, nursing diagnosis website, nursing diagnosis wound infection, nursing diagnosis wellness, nursing diagnosis worksheet, nursing diagnosis wording, nursing diagnosis with lactation, nursing diagnosis for xanax, nursing diagnosis for xerosis, nursing diagnosis for xerostomia, nursing diagnosis for x ray, nursing diagnosis for fragile x syndrome, nursing diagnosis for chest x ray, nursing diagnosis yeast infection, nursing diagnosis youtube, nursing diagnosis young mother, nursing diagnosis for young adults, nursing diagnosis for yellow fever, nursing diagnosis for youth, nursing diagnosis for 2 year old, nursing diagnosis for 3 year old, nursing diagnosis for 6 year old, nursing diagnosis for homeless youth, nursing diagnosis for zenker's diverticulum, nursing diagnosis for zyprexa, nursing diagnosis herpes zoster, nursing diagnosis for zofran, nursing diagnosis for zoloft, nursing diagnosis for herpes zoster ophthalmicus, nursing diagnosis for low 02 sat, nursing diagnosis 14th edition, nursing diagnosis 11th edition, nursing diagnosis 10th edition, nursing diagnosis 14th edition pdf, nursing diagnosis 14th edition carpenito, nursing diagnosis 13th edition, nursing diagnosis 13th edition carpenito, nursing diagnosis 12th edition, nursing diagnosis 13, nursing diagnosis 10th, nursing diagnosis 2016, nursing diagnosis 2015, nursing diagnosis 2014, nursing diagnosis 2017, nursing diagnosis 2014 pdf, nursing diagnosis 2013, nursing diagnosis 2012, nursing diagnosis 2 part statement, nursing diagnosis 2010, nursing diagnosis 2 part, nursing diagnosis 3 part example, nursing diagnosis 3 part statement, nursing diagnosis manual 3rd edition, nursing diagnosis for 3rd degree heart block, nursing diagnosis for 3rd degree burn, nursing diagnosis for 3rd stage of labor, nursing diagnosis for 3rd degree av block, nursing diagnosis for 3 month old, nursing diagnosis for stage 3 pressure ulcer, nursing diagnosis 4 hypertension, nursing diagnosis 4e, nursing diagnosis care plan 4e, nursing diagnosis care plan 4th edition, nursing diagnosis for 4 year old, nursing diagnosis for 4th stage of labor, nursing diagnosis stage 4 pressure ulcer, nursing diagnosis for 4th degree laceration, nursing diagnosis for 4 month old, nursing diagnosis 5, nursing diagnosis for 5 year old, nursing diagnosis for 5 month old, nursing diagnosis handbook 5th edition, nursing diagnosis care plans 5th edition, nursing diagnosis reference manual 5th edition, nursing diagnosis for ckd stage 5, 5 nursing diagnosis for copd, 5 nursing diagnosis for anemia, 5 nursing diagnosis for diabetes, nursing diagnosis handbook 6th edition, nursing diagnosis for 6 month old, nursing diagnosis reference manual 6th edition, nursing diagnosis 7th edition, nursing diagnosis handbook 7th edition, nursing diagnosis reference manual 7th edition, ackley nursing diagnosis handbook 7th edition, nursing diagnoses 8th edition, nursing diagnosis handbook 8th edition, nursing diagnosis handbook 8th edition ackley ladwig, ackley nursing diagnosis 8th edition, nursing diagnosis reference manual 8th edition, nursing diagnosis reference manual sparks 8th edition, nursing diagnosis 9th edition, nursing diagnosis handbook 9th edition apa citation, nursing diagnosis handbook 9th edition pdf, nursing diagnosis handbook 9th edition ackley, nursing diagnosis icd-9 codes, nursing diagnosis handbook 9th edition mosby, nursing diagnosis handbook 9th edition ebook, nursing diagnosis handbook 9th edition publisher, nursing diagnosis handbook 9th edition wilkinson, nursing diagnosis handbook 9th edition apa