Thyroid Cancer

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Thyroid Cancer

 Thyroid cancer is a relatively rare form of cancer, but like all forms of cancer, it can be life-threatening. It usually appears in the form of a lump. The only accurate way to tell whether a thyroid lump is cancerous is by examining a sample of thyroid tissue. 

People who have received radiation treatment to the head and neck earlier in life, possibly as a remedy for acne, tend to have a higher-than-normal propensity for thyroid cancer.

There are 4 major types:

Papillary  This is the most common form, accounting for about 70 percent of all thyroid cancer cases. It usually takes the form of an irregular, solid or cystic mass. Papillary thyroid cancer has a high cure rate, and 80-90 percent of patients with this type survive for ten years or more.

Follicular  Follicular thyroid cancer accounts for approximately 15 percent of cases, and is therefore the second most common type.. It's considered to be more aggressive than the papillary form. Follicular carcinoma often occurs in a slightly older age group than papillary carcinoma and is also less prevalent in children.

Medullary  Medullary tumors account for about 5 to 8 percent of thyroid cancer cases. These tumors arise from thyroid hormone producing cells called parafollicular cells or C cells in the thyroid. These C cells make a hormone called calcitonin.

Medullary thyroid cancer has a much lower cure rate than the papillary and follicular forms. If the disease is confined to the thyroid gland, the patient has a 90 percent chance of living at least ten years.

Anaplastic Anaplastic tumors are the least common but most deadly of all thyroid cancers, with a very low cure rate. Only about 0.5 to 1.5 percent of all thyroid cancers fall into this category. This cancer has a very low cure rate, and only 10 percent of patients survive for three years after diagnosis. Most patients survive less than one year.


Thyroid cancer symptoms

  • Most common signs and symptoms of thyroid cancer include:
     
    Neck lump - in the front of the neck near the Adam's apple
  • Neck nodule
  • Neck swelling
  • Neck pain
  • Difficulty breathing
  • Difficulty speaking
  • Difficulty swallowing
  • Hoarseness
  • Swollen lymph nodes
  • Swollen neck lymph nodes
  • Throat pain
  • Voice changes

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Thyroid cancer treatment

Treatment of thyroid cancer depends on the form of cancer and the stage it has reached. But four types of treatment are standard.

Surgery is the most common treatment. Procedures that may be used include

  • Lobectomy This preocedure involves removing the lobe in which cancer is located.
  • Near-total thyroidectomy Involves removing most of the thyroid.
  • Total thyroidectomy Removal of the entire thyroid.
  • Lymphadenectomy Lymph nodes in the neck where the cancer is located are removed.


Radiation therapy

This uses high-energy x-rays or other types of radiation which kill cancer cells or stop their growth.


Chemotherapy

Chemotherapy employs drugs to halt the growth of cancer cells from dividing. Chemotherapy delivery given depends on the type and stage of the cancer in question.


Thyroid hormone therapy

This type of therapy removes hormones or blocks their action, which stops cancer cell growth. But since thyroid cancer treatment destroys thyroid cells, the thyroid will probably not be able to make enough thyroid hormone. Therefore, patients must take thyroid hormone replacement pills.


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