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11-29-2009, 09:48 AM
FOLLICULAR CARCINOMA
Age: 40:60 ys. or any age
Growth: Rapid
Pathology:
MAC: Small pulsating malignant adenoma.
MIC: Solid cell masses in attempt for formation of follicles.
Non encapsulation and poor differentiation can help to diff. from follicular adenoma
Spread: Mainly by blood but lymphatic spread is also common.
2ries are functioning
Treatment:
1- Total thyroidectomy either curative with block dissection or palliative to decrease the dose of palliative radioactive iodine.
2- Radioactive iodine treatment good results as its uptake by tumour cells and 2ries is good.
SOURCE: Prof. AYMAN SALEM'S BOOK
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