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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