Diagnostic Test for Thyroid Carcinoma

Diagnostic test for thyroid carcinoma among others :

1. Laboratory tests

Laboratory tests that distinguish benign and malignant tumors, thyroid yet nothing special, except for medullary cancer, namely serum calcitonin examination. Examination of T3 and T4 is sometimes necessary, as in carcinoma of the thyroid, thyrotoxicosis can occur rarely. Human thyroglobulin (HTG) Tera can be used as a tumor marker and better differentiation of thyroid cancer. Although these tests are not typical for thyroid cancer, but this HTG elevation after total thyroidectomy is an indicator of recurrent tumor or regrowth (barsano). Calcitonin levels in serum can be determined for the diagnosis of medullary carcinoma.


2. Radiological

a. An X-Ray
X-ray examination of the soft tissues in the neck sometimes necessary to look at the tracheal obstruction due to tumor suppression and see calcification in the tumor mass. In papillary carcinoma with agencies psamoma, subtle calcifications can be seen, which is accompanied by stippled calcification, whereas in medullary carcinoma, calcification more clearly in the tumor mass. Sometimes calcifications were also seen in metastatic carcinoma in lymph nodes. In the X-ray examination is also used to survey the lung and bone metastases. If there is a complaint of dysphagia, the barium meal photos need to see an infiltration of tumors in the esophagus.

b. ultrasound
Ultrasound is required for solid and cystic tumors. This method is safe and appropriate, but this is likely to be pressed by the presence of aspiration biopsy technique is a technique that is simple and inexpensive.

c. Computerized Tomography
CT scan is used to look at the expansion of the tumor, but can not definitively distinguish between benign and malignant tumors of the thyroid tumor cases.

d. Scintisgrafi
By using an isotropic radio indistinguishable hot nodule and a cold nodule. Regions cold nodule suspected malignancy. This technique is also used as a guide for aspiration biopsy to obtain adequate specimens.


3. Aspiration Biopsy
In this decade of fine-needle aspiration biopsy, widely used as a preliminary diagnostic procedures from a variety of tumors, especially in tumors of the thyroid. Techniques and equipment is very simple, low cost and high diagnostic accuracy. Using needle tube 10 ml, and the needle no.22 - 23 as well as a tool holder, tumor aspirator preparations taken for cytology. Architecture based cytology can be identified papillary carcinoma, follicular carcinoma, anaplastic carcinoma and medullary carcinoma.
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