25 Questions
Why is careful evaluation of the integrity of the capsule critical in distinguishing follicular adenoma from follicular carcinoma?
Capsule invasion indicates carcinoma
How are most cases clinically presented?
As painless masses in the thyroid
Which of the following best describes the nature of the masses mentioned in the text?
Nonfunctioning and painless
What is a common characteristic of these cases regarding radiation exposure?
They are always associated with radiation exposure
What type of neoplasm can range from benign adenoma to highly aggressive, anaplastic carcinoma?
Follicular carcinoma
Which characteristic helps in distinguishing follicular adenoma from follicular carcinoma?
Integrity of the capsule
How do cases with metastases usually present?
As spread to distant organs
What is the significance of anaplastic carcinoma in terms of aggressiveness?
Highly aggressive
What is one common difference between the masses in the thyroid and those in the lymph nodes?
Lymph node masses can be painful
Which neoplasm can typically be benign and present as an adenoma?
Follicular adenoma
How does colloid grossly appear?
Brown, glassy, and transparent
What is the result of repeated attacks of stimulation and involution over time?
Formation of irregular enlargement
What term is used to describe irregular enlargement of the thyroid gland?
Nodular goiter
What happens in the formation of multinodular goiter?
Multiple nodules form in the thyroid gland
Which of the following is NOT a characteristic of colloid as described in the text?
Thick consistency
How do follicular carcinomas commonly present clinically?
As solitary cold thyroid nodules
What is a common clinical presentation of follicular carcinomas?
Neck swelling without nodules
Which term is commonly used to describe the appearance of thyroid nodules that are follicular carcinomas?
Cold
What is the characteristic of follicular carcinomas in terms of nodule number?
They usually appear as single nodules
How do 'cold' thyroid nodules typically appear in follicular carcinomas?
With low metabolic activity
What is the typical prognosis for cases described in the text?
Death usually within one year
Why do deaths occur in cases described in the text?
As a result of aggressive local growth
What is the primary cause of death according to the text?
Compressing vital structures in the neck
Which term best describes the growth of the condition in the text?
Rapid and uncontrolled
What is the typical outcome for vital structures in the neck when affected by the condition in the text?
Compression
Test your knowledge on distinguishing follicular adenoma from follicular carcinoma in thyroid gland neoplasms. Understand why evaluating the integrity of the capsule is crucial in identifying carcinoma.
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