Thyroid Cancer

12 min read

Thyroid cancer is a type of cancer that affects the thyroid gland, a small organ located in the neck. It is one of the most common types of cancer in the United States, with an estimated 56,870 new cases in 2020. Thyroid cancer is typically divided into four main types: papillary, follicular, medullary, and anaplastic. Each type is characterized by different cell types and growth patterns.

Risk Factors

The exact cause of thyroid cancer is unknown, but certain factors may increase a person’s risk. These include:

  • Exposure to radiation, such as from radiation therapy for other cancers
  • Family history of thyroid cancer
  • Certain genetic conditions, such as familial medullary thyroid cancer
  • Gender (women are more likely to develop thyroid cancer than men)
  • Age (thyroid cancer is more common in people over the age of 45)

Diagnosis

If a person has symptoms of thyroid cancer, their doctor may order tests to diagnose the condition. These tests may include:

  • Blood tests to measure levels of thyroid hormones and other substances
  • Ultrasound to look for tumors in the thyroid gland
  • Biopsy to remove a sample of tissue for examination

Prevention

There is no sure way to prevent thyroid cancer, but there are steps a person can take to reduce their risk. These include:

  • Avoiding exposure to radiation, such as from medical imaging tests
  • Eating a healthy diet and exercising regularly
  • Getting regular check-ups and screenings

Symptoms

Common Symptoms of Thyroid Cancer

  • A lump or swelling in the neck
  • Pain in the neck or throat
  • Hoarseness or changes in the voice
  • Difficulty swallowing
  • Coughing that does not go away
  • Enlarged lymph nodes in the neck

Less Common Symptoms of Thyroid Cancer

  • Unexplained weight loss
  • Fatigue
  • Fever
  • Sweating
  • Anxiety
  • Depression

If you experience any of these symptoms, it is important to speak to your doctor. While these symptoms may not necessarily indicate thyroid cancer, it is important to get them checked out to rule out any serious health issues.

Take the Thyroid Cancer Assessment

Causes

Genetics

Genetics can play a role in the development of thyroid cancer. Certain genetic mutations, such as those found in the RET proto-oncogene, can increase a person’s risk of developing the disease. Additionally, people with a family history of thyroid cancer may be more likely to develop the disease.

Radiation Exposure

Exposure to radiation, either through medical treatments or environmental sources, can increase a person’s risk of developing thyroid cancer. People who have had radiation therapy to the head or neck area, such as for the treatment of acne or an enlarged thymus, may be at an increased risk. Additionally, people who live in areas with high levels of environmental radiation, such as near nuclear power plants, may be more likely to develop the disease.

Gender and Age

Thyroid cancer is more common in women than in men, and the risk increases with age. People over the age of 45 are more likely to develop the disease than younger people.

Other Factors

Other factors that may increase a person’s risk of developing thyroid cancer include obesity, a diet high in processed foods, and certain medical conditions, such as type 1 diabetes or an overactive thyroid.

Getting a Diagnosis

Physical Exam

During a physical exam, a doctor will feel the neck for any lumps or nodules. They may also check for any changes in the size of the thyroid gland. If any abnormalities are found, further tests may be recommended.

Imaging Tests

Imaging tests such as ultrasound, CT scans, and MRI scans can be used to look for any tumors or other abnormalities in the thyroid gland. These tests can also be used to measure the size of the thyroid gland and any tumors that may be present.

Biopsy

A biopsy is the most accurate way to diagnose thyroid cancer. During a biopsy, a small sample of tissue is taken from the thyroid gland and examined under a microscope. This can help determine if the cells are cancerous or not.

Conclusion

Diagnosing thyroid cancer is important for successful treatment. Physical exams, imaging tests, and biopsies are all methods used to diagnose thyroid cancer. If any abnormalities are found, further tests may be recommended.

Questions for Your Doctor

Diagnosis and Treatment Options

Your doctor will discuss your diagnosis and the various treatment options available to you. This may include surgery, radiation therapy, chemotherapy, or a combination of treatments. Your doctor will also discuss the potential risks and benefits of each option.

Follow-up Care

Your doctor will discuss the need for follow-up care after your initial treatment. This may include regular check-ups, blood tests, and imaging tests. Your doctor will also discuss any lifestyle changes you may need to make to reduce your risk of recurrence.

Side Effects

Your doctor will discuss the potential side effects of your treatment. This may include fatigue, hair loss, nausea, and other symptoms. Your doctor will also discuss ways to manage these side effects.

Support

Your doctor will discuss the importance of having a support system during your treatment. This may include family, friends, and support groups. Your doctor will also discuss any resources available to you.

Questions

Your doctor will be happy to answer any questions you may have about your diagnosis and treatment. It is important to ask questions and make sure you understand all the information your doctor provides.

Treatment

Surgery

Surgery is the most common treatment for thyroid cancer. The goal of surgery is to remove the cancerous tissue and any nearby lymph nodes. Depending on the type and stage of the cancer, the surgeon may remove the entire thyroid gland (total thyroidectomy) or just part of it (partial thyroidectomy). In some cases, the surgeon may also remove nearby lymph nodes.

Radioactive Iodine Therapy

Radioactive iodine therapy is a type of treatment that uses radioactive iodine to kill cancer cells. The radioactive iodine is taken orally in the form of a pill or liquid. It is absorbed by the thyroid cells, which then absorb the radiation and die. This treatment is usually used after surgery to destroy any remaining cancer cells.

External Beam Radiation Therapy

External beam radiation therapy is a type of treatment that uses high-energy X-rays to kill cancer cells. The radiation is delivered from a machine outside the body and is focused on the cancerous area. This treatment is usually used after surgery to destroy any remaining cancer cells.

Chemotherapy

Chemotherapy is a type of treatment that uses drugs to kill cancer cells. The drugs are usually given intravenously (through a vein) or orally (in pill form). This treatment is usually used after surgery to destroy any remaining cancer cells.

Targeted Therapy

Targeted therapy is a type of treatment that uses drugs to target specific molecules in cancer cells. These drugs can block the growth and spread of cancer cells. This treatment is usually used after surgery to destroy any remaining cancer cells.

Immunotherapy

Immunotherapy is a type of treatment that uses the body's own immune system to fight cancer cells. This treatment is usually used after surgery to destroy any remaining cancer cells.

Clinical Trials

Clinical trials are research studies that test new treatments for cancer. These studies are conducted to determine if a new treatment is safe and effective. Patients who participate in clinical trials may have access to treatments that are not yet available to the general public.

Drugs & Medications

Levothyroxine

Levothyroxine is a synthetic form of the hormone thyroxine, which is produced by the thyroid gland. It is used to replace the hormone that is missing due to thyroid cancer or other thyroid conditions. It is usually taken once a day, and it can help to reduce symptoms of thyroid cancer, such as fatigue, weight gain, and depression.

Radioactive Iodine

Radioactive iodine is a type of radiation therapy used to treat thyroid cancer. It is usually taken in pill form, and it works by targeting and destroying cancer cells in the thyroid gland. It is usually given in combination with other treatments, such as surgery or chemotherapy.

Thyroid Hormone Therapy

Thyroid hormone therapy is a type of drug therapy used to treat thyroid cancer. It works by replacing the hormones that are missing due to thyroid cancer or other thyroid conditions. It is usually taken in pill form, and it can help to reduce symptoms of thyroid cancer, such as fatigue, weight gain, and depression.

Chemotherapy

Chemotherapy is a type of drug therapy used to treat thyroid cancer. It works by targeting and destroying cancer cells in the thyroid gland. It is usually given in combination with other treatments, such as surgery or radiation therapy.

Targeted Therapy

Targeted therapy is a type of drug therapy used to treat thyroid cancer. It works by targeting specific molecules in the cancer cells, which can help to slow down or stop the growth of the cancer. It is usually given in combination with other treatments, such as surgery or chemotherapy.

Immunotherapy

Immunotherapy is a type of drug therapy used to treat thyroid cancer. It works by stimulating the body's immune system to fight the cancer cells. It is usually given in combination with other treatments, such as surgery or chemotherapy.

Diet

What to Eat

When living with thyroid cancer, it is important to eat a balanced diet that is rich in fruits, vegetables, whole grains, and lean proteins. Eating a variety of foods can help ensure that you are getting all the essential nutrients your body needs. Here are some specific foods to include in your diet:

  • Fruits and vegetables: Fruits and vegetables are packed with vitamins, minerals, and antioxidants, which can help support overall health. Aim to eat a variety of colors and types of produce.
  • Whole grains: Whole grains are a great source of fiber, which can help keep you feeling full and can help regulate your digestive system. Examples of whole grains include oats, quinoa, and brown rice.
  • Lean proteins: Lean proteins are an important part of a healthy diet. Examples of lean proteins include fish, chicken, and beans.
  • Healthy fats: Healthy fats, such as olive oil, avocados, and nuts, can help keep you feeling full and can provide essential nutrients.

What to Avoid

In addition to eating a balanced diet, it is important to avoid certain foods that can be detrimental to your health. Here are some foods to avoid when living with thyroid cancer:

  • Processed foods: Processed foods are often high in sodium, sugar, and unhealthy fats, which can be detrimental to your health. Examples of processed foods include chips, crackers, and frozen meals.
  • Sugary drinks: Sugary drinks, such as soda and juice, are high in sugar and can lead to weight gain. Instead, opt for water or unsweetened tea.
  • Alcohol: Alcohol can interfere with the body’s ability to absorb certain nutrients and can also increase the risk of certain cancers. It is best to avoid alcohol when living with thyroid cancer.

Conclusion

Eating a balanced diet is important for anyone living with thyroid cancer. It is important to eat a variety of fruits, vegetables, whole grains, and lean proteins. It is also important to avoid processed foods, sugary drinks, and alcohol. Following a healthy diet can help support overall health and manage the symptoms of thyroid cancer.

Lifestyle

Eat a Healthy Diet

Eating a healthy diet is important for everyone, but it is especially important for those with thyroid cancer. Eating a balanced diet that is rich in fruits, vegetables, and lean proteins can help you maintain a healthy weight and provide your body with the nutrients it needs to fight off cancer. Additionally, avoiding processed foods and limiting your intake of sugar and saturated fats can help reduce your risk of developing other health problems.

Exercise Regularly

Exercise is an important part of staying healthy and managing your thyroid cancer. Regular physical activity can help reduce stress, boost your mood, and improve your overall health. Aim for at least 30 minutes of moderate exercise each day, such as walking, jogging, swimming, or cycling. If you have difficulty finding the time to exercise, try breaking it up into smaller chunks throughout the day.

Get Enough Sleep

Getting enough sleep is essential for managing your thyroid cancer. Aim for 7-8 hours of sleep each night to help your body rest and recover. Additionally, try to go to bed and wake up at the same time each day to help regulate your body’s natural sleep cycle.

Manage Stress

Stress can have a major impact on your health, so it’s important to find ways to manage it. Try activities such as yoga, meditation, or deep breathing to help reduce stress. Additionally, talking to a therapist or counselor can help you learn how to better cope with your condition.

Stay Connected

Staying connected with family and friends can help you cope with your condition. Reach out to your loved ones for support and talk to them about your feelings. Additionally, joining a support group can help you connect with others who are going through similar experiences.

Seek Medical Care

It’s important to seek regular medical care to help manage your thyroid cancer. Make sure to keep all of your appointments and follow your doctor’s instructions. Additionally, ask your doctor about any lifestyle changes you can make to help manage your condition.

By making lifestyle changes and following your doctor’s instructions, you can help manage your thyroid cancer and live a healthier life. Remember to take care of yourself and reach out for help when you need it.