Follicular thyroid cancer natural history, complications and prognosis

Follicular thyroid cancer Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Prognosis

• Prognosis of follicular thyroid cancer is directly related to tumor size.

Worst Prognosis

• Women older than 50 with follicular carcinoma
• Men older than 40 with follicular carcinoma
• Distant metastasis
• Large tumor size
• Extensive vascular invasion
• Extra thyroidal extension
• Widely invasive tumors

Intermediate Prognosis

• Women older than 50 with papillary carcinoma
• Men older than 40 with papillary carcinoma

Good Prognosis

• Children
• Adolescent
• Women younger than 50
• Men younger than 40

5 year Relative Survival Rate

• 5 year relative survival rate of follicular thyroid cancer depends on the stage of the disease at the time of diagnosis.
• Stage 1 has 100% 5 year relative survival rate
• Stage 2 has 100% 5 year relative survival rate
• Stage 3 has 71% 5 year relative survival rate
• Stage 4 has 50% 5 year relative survival rate