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Monday, January 7, 2013

Follicular carcinoma

HEMATOGENOUS SPREAD
distinction between follicular adenoma and follicular carcinoma cannot be made on FNA or frozen section - NEED LOBECTOMY for DX
Question: management of follicular thyroid carcinoma?
Answer: if lobectomy is adenoma then stop, if follicular CA then total if > 1cm  (MRND if in nodes or out of thyroid tissue)
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