Doctor insights on:
Pulmonary Thyroid Cancer
What is the prognosis for papillary thyroid cancer that spread to the lungs? I read it is normally not more than 5 years survival rate? Is that true?
Variable: The rate of survival in patients with papillary thyroid cancer with distant metastases is variable. Considering patients with small lung metastases but no other spread outside of the neck, the 10-year survival rate is roughly 30 to 50 percent. Higher survival rates have been reported in patients whose pulmonary mets were detected only by radioiodine imaging. Being over 80 hurts your prognosis. ...Read moreSee 2 more doctor answers
Thyroid cancer arises 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
Most likely not: Thyroid cancer that has spreaded to the lung is unlikely to be curable. However, there are treatments available to control the disease such as radioactive iodine if the cancer cells would pick up iodine. Patient can be treated and maintained with good quality life for many many years with repeat treatment if necessary. ...Read moreSee 1 more doctor answer
Usually none: Thyroid cancers can spread to lymph nodes in the neck, lungs, or bones. It can spread to other areas but it's rare for it to spread to the kidneys. When it spreads to the lungs, it does not usually cause symptoms until late in the course of the disease. If you have concerns, please talk to your thyroid surgeon or endocrinologist. ...Read more
Difficult.: It is treatable, but the cure rates are difficult once thyroid cancer has spread to the lungs. If this is not a hypothetical question for you or someone you know, there is limited data that a tyrosine kinase inhibitor may be helpful; it would at least be worth inquiring with your physician for their thoughts on the subject. ...Read more
Generally 4 types: There are 4 types of thyroid cancer. 1)papillary (most common), 2)follicular and hurthle cells, 3)medullary and 4)anaplastic (least common and most aggressive). Lymphoma and metastatic disease from other cancer (renal cell, melanoma) can also go to the thyroid. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
4 types: 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 moreSee 2 more doctor answers
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