Thyroid Cancer: Overview
What is thyroid cancer?
Cancer is made of changed cells that grow out of control. The changed (abnormal) cells often grow to form a lump or mass called a tumor. Cancer cells can also grow into (invade) nearby areas. And they can spread to other parts of the body. This is called metastasis.
Thyroid cancer starts in the cells of the thyroid gland. The thyroid gland helps control hormones in your body and is part of the endocrine system. It’s in the front of your neck, over your windpipe. The thyroid gland is shaped like a butterfly with 2 lobes, a right and left lobe. The lobes are joined by a bridge of tissue, called the isthmus.
The thyroid is made up of 2 main types of cells. The follicular cells make and store thyroid hormones, which control your metabolism. The C cells, or parafollicular cells, make the hormone calcitonin. This helps control calcium levels in your body. The different types of thyroid cancer develop from the different types of cells.
There are 4 main types of thyroid cancer (carcinoma):
- Papillary carcinoma
- Follicular carcinoma
- Medullary thyroid carcinoma
- Anaplastic carcinoma
Who is at risk for thyroid cancer?
A risk factor is anything that may increase your chance of having a disease. The exact cause of someone’s cancer may not be known. But risk factors can make it more likely for a person to have cancer. Some risk factors may not be in your control. But others may be things you can change.
The risk factors for thyroid cancer include:
- Female sex
- Middle to older age
- History of radiation exposure
- Iodine deficiency
- Family history of thyroid cancer and thyroid disease
- An enlarged thyroid (goiter)
Talk with your healthcare provider about your risk factors for thyroid cancer and what you can do about them.
What are the symptoms of thyroid cancer?
It’s not uncommon to have few or no symptoms early on. One of the most common symptoms is a lump (growth) called a nodule in the neck. Other symptoms of thyroid cancer include:
- A lump or swelling over your thyroid or elsewhere in your neck
- A cough that won’t go away, and you don’t have a cold
- Hoarseness or other changes in your voice that don’t go away
- Neck pain. This is usually in the front of your neck near your Adam’s apple and extends up to your ears.
- Swollen lymph nodes
- Swollen neck
- Trouble breathing that feels like you are breathing through a straw
- Trouble swallowing
Most thyroid nodules are not cancer. Many of these may be caused by other health problems. But it’s important to see your healthcare provider if you have these symptoms. Only a healthcare provider can tell if you have cancer.
How is thyroid cancer diagnosed?
If your healthcare provider thinks you may have thyroid cancer, you will need certain exams and tests to be sure. Your healthcare provider will ask you about your health history, your symptoms, risk factors, and family history of disease. He or she will also give you a physical exam. Finding thyroid cancer early on can happen during a routine exam when the healthcare provider notices a nodule. You may also have one or more tests.
A biopsy is the only way to confirm cancer. Small pieces of tissue are taken out from the thyroid and checked for cancer cells. Your results will come back in about 1 week.
After a diagnosis of thyroid cancer, you’ll likely have other tests. These help your healthcare providers learn more about your cancer. They can help determine the stage of the cancer. The stage is how much and how far the cancer has spread (metastasized) in your body. It is one of the most important things to know when deciding how to treat the cancer.
Once your cancer is staged, your healthcare provider will talk with you about what the stage means for your treatment. Ask your healthcare provider to explain the stage of your cancer to you in a way you can understand.
How is thyroid cancer treated?
Your treatment choices depend on the type of thyroid cancer you have, test results, and the stage of the cancer. Most thyroid cancers are slow to grow and spread (metastasize). But some thyroid cancer types can grow and spread quickly. Your provider will treat these differently. The goal of treatment may be to cure you, control the cancer, or help ease problems caused by the cancer. Talk with your healthcare team about your treatment choices, the goals of treatment, and what the risks and side effects may be. Other things to think about are if the cancer can be removed with surgery and your overall health.
Types of treatment for cancer are either local or systemic. Local treatments remove, destroy, or control cancer cells in one area. Surgery and radiation are local treatments. Systemic treatment is used to destroy or control cancer cells that may have traveled around your body. When taken by pill or injection, chemotherapy is a systemic treatment. You may have just one treatment or a combination of treatments.
Thyroid cancer may be treated with:
- Radioactive iodine
- Thyroid hormone treatment
- External radiation therapy
- Targeted therapy
Talk with your healthcare providers about your treatment options. Make a list of questions. Think about the benefits and possible side effects of each option. Talk about your concerns with your healthcare provider before making a decision.
What are treatment side effects?
Cancer treatment such as chemotherapy and radiation can damage normal cells. This can cause side effects such as hair loss, mouth sores, and vomiting. Talk with your healthcare provider about side effects you might have and ways to manage them. There may be things you can do and medicines you can take to help prevent or control side effects.
Coping with thyroid cancer
Many people feel worried, depressed, and stressed when dealing with cancer. Getting treatment for cancer can be hard on your mind and body. Keep talking with your healthcare team about any problems or concerns you have. Work together to ease the effect of cancer and its symptoms on your daily life.
- Talk with your family or friends.
- Ask your healthcare team or social worker for help.
- Speak with a counselor.
- Talk with a spiritual advisor, such as a minister or rabbi.
- Ask your healthcare team about medicines for depression or anxiety.
- Keep socially active.
- Join a cancer support group.
Cancer treatment is also hard on the body. To help yourself stay healthier, try to:
- Eat a healthy diet, with as many protein foods as possible.
- Drink plenty of water, fruit juices, and other liquids.
- Keep physically active.
- Rest as much as needed.
- Talk with your healthcare team about ways to manage treatment side effects.
- Take your medicines as directed by your team.
When should I call my healthcare provider?
Your healthcare provider will talk with you about when to call. You may be told to call if you have any of the below:
- New symptoms or symptoms that get worse
- Signs of an infection, such as a fever
- Side effects of treatment that affect your daily function or don't get better with treatment
Ask your healthcare provider what signs to watch for and when to call. Know how to get help after office hours and on weekends and holidays.
Key points about thyroid cancer
Tips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider tells you.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
- Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or procedure.
- If you have a follow-up appointment, write down the date, time, and purpose for that visit.
- Know how you can contact your provider if you have questions.