Thyroid cancer is a cancer that starts in the thyroid gland. The thyroid gland is located inside the front of your lower neck.
Tumor – thyroid; Cancer – thyroid
Causes, incidence, and risk factors
Thyroid cancer can occur in all age groups.
Radiation increases the risk of developing thyroid cancer. Exposure may occur from:
Radiation therapyto the neck (especially in childhood)
- Radiation exposure from nuclear plant disasters
Other risk factors are a family history of thyroid cancer and chronic
There are several types of thyroid cancer:
Anaplastic carcinoma(also called giant and spindle cell cancer) is the most dangerous form of thyroid cancer. It is rare, and spreads quickly.
carcinomais more likely to come back and spread.
Medullary carcinoma is a cancer of non-thyroid cells that are normally present in the thyroid gland. This form of thyroid cancer tends to occur in families.
Papillary carcinomais the most common type, and it usually affects women of childbearing age. It spreads slowly and is the least dangerous type of thyroid cancer.
Symptoms vary depending on the type of thyroid cancer, but may include:
- Difficulty swallowing
- Enlargement of the thyroid gland
- Hoarseness or changing voice
- Neck swelling
- Thyroid lump (nodule)
Signs and tests
Your health care provider will perform a physical exam. This may reveal a lump in the thyroid, or swollen lymph nodes in the neck.
The following tests may be done:
Calcitoninblood test to check for medullary cancer Laryngoscopy
- Thyroid biopsy
Thyroid scan TSH, free T4 Ultrasound of the thyroid
Treatment depends on the type of thyroid cancer.
Surgery is most often done. The entire thyroid gland is usually removed. If the doctor suspects that the cancer has spread to lymph nodes in the neck, these will also be removed.
Radiation therapy may be done with or without surgery. It may be performed by:
- Aiming external beam (x-ray) radiation at the thyroid
- Taking radioactive iodine by mouth
After treatment for thyroid cancer you must take thyroid hormone pills for the rest of your life. The dosage is usually slightly higher than what your body needs. This helps keep the cancer from coming back.
If the cancer does not respond to surgery or radiation and has spread to other parts of the body,
Complications of thyroid cancer may include:
- Injury to the voice box and hoarseness after thyroid surgery
- Low calcium level from accidental removal of the parathyroid glands during surgery
- Spread of the cancer to the lungs, bones, or other parts of the body
Calling your health care provider
Call your health care provider if you notice a lump in your neck.
There is no known prevention. Awareness of risk (such as previous radiation therapy to the neck) can allow earlier diagnosis and treatment.
Sometimes, people with strong family histories and genetic mutations related to thyroid cancer will have their thyroid gland removed for preventive purposes.
Related:Thyroid gland removal – discharge, Radiation therapy, Goiter – simple, Thyroid cancer – papillary carcinoma, Cancer, Metastasis, Anaplastic thyroid cancer, Breathing difficulty, Thyroid nodule