Doctor insights on:
How Does Thyroid Cancer Kill You
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Absolutely: Typical thyroid cancer in women less than 50 has about a 98% survival rate. Although there are occasional very aggressive thyroid cancers (mostly in older men), most thyroid cancer is easily treated. Make sure you find an experienced thyroid surgeon. Try the american association of endoctine surgeons website. ...Read more
FNA or surgery: The best way to diagnose thyroid cancer is in surgery. The surgical specimen give you the most tissue to look at. It can also give you a "gross" view of whether the nodule had spread through the thyroid capsule (an indication of cancer). That being said, most patients don't jump to surgery right away. In that case, an ultrasound guided fine needle aspiration is often perform to eval cancer. ...Read more
Yes, but: Yes but the overwhelming majority of thyroid cancers (are papillary thyroid cancer) which has very good 20 year survival rate and are not really life threatening if they are treated appropriately (even if they spread to the lymh nodes). These patients often die from other causes. There are4 types of thyroid cancer fortunately the most aggressive and life threatening type is also the least common. ...Read more
Variable: Early cancer may be asymptomatic. Common symptoms include, mass in the neck over the trachea, lateral mass due to metastases in the lymph nodes of the neck. Metastases to other organs, e.g., lung and bone may be the first symptoms. If the cancer produces hormone, anxiety, nervousness, high pulse rate, heat intolerance, weight loss etc due to hyperthyroid state may be the presenting feature. ...Read more
Depends: There are 4 types of thyroid cancer: papillary, follicular/hurthle cell, medullary and anaplastic. Papillary is most common (75% of all thyroid cancer) so if you have thyroid cancer, this's probably what you have. Anaplastic is very aggressive and is deadly, so you most likely do not have this one. The only way to know is through a thyroid biopsy or surgery. ...Read more
None early on...: Thyroid cancer typically doesn't cause any signs or symptoms early in the disease. As thyroid cancers grow, they may cause a number of symptoms including: a lump that can be felt through the skin in the neck, changes in a person's voice (including increasing hoarseness), difficulty swallowing, pain in the neck / throat, and possibly enlarged lymph nodes in the neck. Hope that this helps. ...Read more
3 categories: Thyroid cancer is divided into 3 categories:well-differentiated types which includes papillary, follicular and hurthle cell carcinoma subtypes, poorly differentiated types and anaplastic carcinoma. For more information you can go to my website at http://www. Cvsurgicalgroup. Com/services/thyroid-surgery/thyroid-cancer-surgery/. ...Read more
Papillary, follicular, medullary, anaplastic
both papillary and follicular cancers are typically treated with complete removal of the lobe of the thyroid that harbors the cancer, in addition to the removal of most or all of the other side. Medullary cancer of the thyroid is significantly less common, but has a worse prognosis. Thyroid cancer anaplastic has a poor prognosis. ...Read more
Nothing specific.: Generally, people feel normal when they have thyroid cancer. That is the main reason that it can be hard to discover. Your physician should feel your thyroid during a routine physical examination. If he/she feels anything unusual, an ultrasound would be the most common next test. ...Read more
Surgery then I-131: The first step is to have a thyroidectomy (ie, have a surgeon take it out). If the tumor is very small, you may be done at that point. If it is not small, most people will opt to have radioactive iodine (i-131) treatment after surgery. That is by far the most common 1-2 punch for thyroid cancer, and it generally works quite well. ...Read more
Lump in the neck: Thyroid cancers may produce a lump in neck over the thyroid; if functional, the tumor may express as hyperthyroidism and cause rapid heart rate, palpitations, weight loss, intolerance to heat etc. Many cancers may be asymptomatic and may only be picked up during a physical examination. Some may not become apparent till metastases develop in the local lymph nodes. ...Read more
No: Thyroid tumors are associated with a stimulatory factor arising in the pituitary. Asbestos causes problems when the dust arising from the handling of asbestos gets into the respiratory tract. Under this situation many so exposed develop mesothelisoma of the lining of the lung totally unassociated with thyroid cancer which can also arise in early age from exposure of to H&N radiation. ...Read more
Anaplastic Cancer: Anaplastic thyroid cancer is the least common form, but also the most aggressive. It is usually fatal, and spreads by direct extension, so that the cancer cells push outside of the thyroid and grow into nearby neck structures, including muscle, the trachea (windpipe), and blood vessels, including the carotid artery and the jugular vein. ...Read more
Probably not: This is a really good question. I would check with yout local blood bank but as far as I know, the only 2 cancers that will allow you to donate blood are: basal cell carcinoma of the skin and carcinoma in-situ of the cervix. ...Read more
Yes, in some cases: Anytime there is chronic inflammation in a part of the body, that increases cell turnover and the risk of cancer is increased. This is true of most organ systems in the body. The relative risk depends on many things, such as the specific nature of the thyroid disorder, how it was/is treated and whether or not there is ongoing inflammation in the gland. I suggest discussing this with endocrinology. ...Read more
Radioactive iodine: Following surgery to remove the thyroid gland and surrounding lymph nodes, radioactive iodine (rai) is commonly used. Thyroid cells have a unique ability to take up iodine is our body. So any lingering cells would absorb the rai and be killed. This can treat cells spread outside the neck too. If there is a bone tumor, external beam radiation can relieve the pain. Clinical trials also an option. ...Read more
Radiation & genetics: Risk factors for thyroid cancer include: exposure to very high levels of radiation (such as radiation treatment to the head and neck or fallout from such sources as nuclear power plant accidents or weapons testing), personal or family history of goiter (noncancerous enlargement of the thyroid), certain inherited genetic syndromes (like multiple endocrine neoplasia syndromes). ...Read more
Thyroid disease?: You will need to clarify what you mean by thyroid disease. Most common thyroid problem is hypothyroidism (low hormone levels). You you can still get thyroid cancer. You should remember that thyroid nodules (lumps) are common, especially in women and when we get older. The chance of cancer in a nodule is 5% or less. Try not to worry until an evaluation has been done. ...Read more
Cancer that presents in the thyroid gland. It usually presents as a painless thyroid nodule. Most are papillary-follicular type and have a very good prognosis. Less common are medullary cancers, with an intermediate prognosis. Anaplastic cancers of the thyroid have a poor prognosis and are uncommon. Treatment of thyroid cancers involves removal ...Read more
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