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Doctor insights on: Stage 1 Thyroid Cancer

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Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years (she is 51 years old)? Thank you very much!

Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years (she is 51 years old)? Thank you very much!

Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more

Dr. Barry Rosen
4,341 Doctors shared insights

Cancer (Definition)

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


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What are chances of stage 1 papillary carcinoma thyroid cancer coming back if I don't do radioactive iodine, but had surgery to remove entire thyroid?

What are chances of stage 1 papillary carcinoma thyroid cancer coming back if I don't do radioactive iodine, but had surgery to remove entire thyroid?

Well...: The cancer can in the long run spread... And after Radioactive Iodine treatment the cure is almost 100%.
Also there are two tests that determine the need: A total body I.131 scan and Thyroglobulin levels in the blood.
Is any of these are positive it is imperative that you get radioactive Iodine treatment. Actually it is not a torturous treatment... ...Read more

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How could a thyroid cancer metastasize into only one part of the body?

How could a thyroid cancer metastasize into only one part of the body?

Possible with any ca: It is possible for any cancer to metastise in only one part of the body or one organ, it can be liver, lung, lymph nodes in one part of body, in one bone only. So it can happen in one organ or part of the body. ...Read more

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Is it possible for thyroid cancer metastasize into only one part of the body?

Is it possible for thyroid cancer metastasize into only one part of the body?

Yes: Often well-differentiated thyroid cancer will only go to neck lymph nodes, this is then removed and radioactive iodine treatment is given. Most of the time the patient's prognosis continues to be excellent. If it has metastasized to multiple areas or cannot be resected, then radioactive iodine may be the only option. Prognosis is still good with well-different. Thyroid cancer in that situation. ...Read more

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Is it possible for a thyroid cancer to metastasize into only one part of the body?

Is it possible for a thyroid cancer to metastasize into only one part of the body?

Yes: There are many different types of thyroid cancer. The most common one is papillary thyroid cancer. This type is slow growing and typically does not "spread." if it does, it typically will spread to the lymph nodes, but other sites are also possible. ...Read more

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For someone w/ thyroid cancer, the TSH is suppressed to <0.01. Does one need to follow a dexa?

For someone w/ thyroid cancer, the TSH is suppressed to <0.01. Does one need to follow a dexa?

Yes: Hyperthyroidism, especially for long periods of time, can cause osteoporosis. You should at least have an initial DXA for baseline and then followed 1-2 years after that if your doctor is going to keep your tsh< 0.01 all that time. ...Read more

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I had thyroid cancer, one intestinal polypus and eagle's syndrome, would be Gardner's Syndrome??

I had thyroid cancer, one intestinal polypus and eagle's syndrome, would be Gardner's Syndrome??

Not likely: One polyp wouldn't diagnose you with gardners syndrome but if you are concerned see your physician. ...Read more

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Had thyroid cancer and removal 3 years ago and didn't have to do any radiation, can it come back? I'm worried I have a 2 year old and one on the way

Had thyroid cancer and removal 3 years ago and didn't have to do any radiation, can it come back? I'm worried I have a 2 year old and one on the way

Yes: Thyroid cancer can come back. That is why it is important to have continued follow-up with your doctor to make sure your TSH suppression, surveillance imaging and blood work is performed to monitor for signs of recurrence. ...Read more

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I have a couple of 6mm lymp nodes and my mchc came back low on my blood test. Does one have to do with the other? I also had thyroid cancer last year.

I have a couple of 6mm lymp nodes and my mchc came back low on my blood test. Does one have to do with the other? I also had thyroid cancer last year.

Cannot say: Cannot say in your particular case, but generally, 6mm lymph nodes are not necessarily significant. MCHC low implies low iron, but can be wtih a chronic disease (active or recovering from cancer, among many many others).
BUt could also theoretically be the beginning of a return of the cancer. ...Read more

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Been told I have a full thyroid. Blood work fine. Would an MRI with contrast detect thyroid cancer? Had a recent one for an MS checkup.

Been told I have a full thyroid. Blood work fine. Would an MRI with contrast detect thyroid cancer? Had a recent one for an MS checkup.

No MRI: You don't need an MRI of the thyroid. I am not sure you need anything. What is a "full thyroid"? You have to ask your doctor what is meant by that. It may mean it is slightly enlarged. Most of the causes of that are benign. You may want to see an endocrinologist.... Rather than get an unnecessary test. Also, be careful not to overreact to things your doctor may say/write. ...Read more

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What determines the dose of radioactive iodine that one receives for remnant ablation and treatment for papillary thyroid cancer? I received 100millic

What determines the dose of radioactive iodine that one receives for remnant ablation and treatment for papillary thyroid cancer? I received 100millic

Probability to recur: The dose of rai is typically based on the predicted probability of thyroid cancer recurrence. People with stage 1 or 2 disease are typically given lower dosages (30-100 mci). Stage 3 or 4 would receive higher (100-150). Recent studies are looking more at 30 mci to ablate most lower risk patients. ...Read more

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If seroquel and Abilify (aripiprazole) cause enlarged thyroid cancer will my doctor put me on another one?

If seroquel and Abilify (aripiprazole) cause enlarged thyroid cancer will my doctor put me on another one?

Not Cancer: It is unusual for those medications to cause an underactive thyroid. There is some thought that it may be a temporary problem eventually going back to normal. However, the option of treating the underactive thyroid with thyroid hormone replacement may be a consideration for the physician if these psych meds are the best options for the patient's initial problem. Thyroid cancer is different. ...Read more

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My father was diagnosed with thyroid cancer at 46. I am 27, but asked for a thyroid ultrasound as a precaution. The us revealed one 4x6x6mm solid nodule. Should I be worried? Does this merit biopsy?

My father was diagnosed with thyroid cancer at 46. I am 27, but asked for a thyroid ultrasound as a precaution. The us revealed one 4x6x6mm solid nodule. Should I be worried? Does this merit biopsy?

Follow closely: Thyroid nodules are very common. The risk of cancer is only 5%. I would follow this nodule with another ultrasound in a year and would consider biopsy only if it grows on the subsequent ultrasound. Your current nodule is currently very small. ...Read more

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I have had an MRI, Thyroid Ultrasound and now a CT w/ &w/o contrast. Determination, multinodular goiter. 2 complex one on each side. 1.6cm and 1.3cm. Am I correct in thinking these need to be biopsied? No thyroid cancer in family, but throat cancer, an

If these are: Discrete nodules, next step is fine needle aspiration. Depending on the size of the thyroid gland and other studies, you might need to undergo thyroidectomy. Consult with your endocrinologist for specific advice. Chances of these being cancer is probably low. ...Read more

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Can thyroid cancer be treated?

Can thyroid cancer be treated?

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

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How is thyroid cancer diagnosed?

How is thyroid cancer diagnosed?

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

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Dr. Quang Nguyen
328 Doctors shared insights

Thyroid Cancer (Definition)

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


Dr. Jeffrey Wint
13 Doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more