The thyroid gland produces chemicals that regulate how the body uses energy. Thyroid cancer develops in the tissue of the thyroid gland. It is not very common. Death from thyroid cancer is unusual, especially in young people. Thyroid cancer is found twice as often in women.
There are several types of thyroid cancer.
The thyroid gland continues to function normally even when the cancer has taken up part of the thyroid. The cancer may spread, or metastasize, to other parts of the body. Those parts may show damage from the cancer.
In most cases, the cause of thyroid cancer is unknown. The risk is increased if the neck is exposed to radiation from any source. This happens very rarely. Some families tend to develop thyroid and other cancers. This is also rare. Countries where the iodine content in the food supply is either low or high also show increased risk for thyroid cancer.
The only symptom may be a lump growing on the neck. It can become large and press on the throat. When that happens, the person may become hoarse and have difficulty swallowing.
If a person has a lump growing on the neck near the thyroid gland, a healthcare provider may suspect cancer. Special x-rays can show that the lump might be cancerous but cannot prove it. A biopsy is done to remove tissue from the lump for examination in the laboratory. Recent research has shown that the development of thyroid cancer may be related to a genetic problem. Because of this, genetic testing may be done if person has other family members with thyroid or similar cancers.
Nothing can be done to prevent thyroid cancer except to avoid exposure to radiation.
Untreated cancer will cause death. A person who undergoes successful treatment will be able to live a normal life. The cure rate for this cancer is very high.
Thyroid cancer poses no risks to others.
There are several treatments that may be used, depending on the the extent of the cancer:
The side effects depend on the treatment given:
The person will need to be monitored for many years to make sure the cancer has not come back. The daily dose of thyroid hormones may need to be adjusted. Otherwise the person can expect to live a normal life.
CT scans, thyroid scans, and chest x-rays will be performed to check and see if the cancer has come back. Thyroid function blood tests will be done to make sure the dose of thyroid hormone is correct.
Author:Miriam P. Rogers, EdD, RN, AOCN, CNS
Date Written:
Editor:Smith, Mary Ellen, BS
Edit Date:05/13/00
Reviewer:Fern Carness, RN, MPH
Date Reviewed:06/08/01
Brower, S.T, Williams, W.L., Vassilopoulou-Sellin, R. & Lustig, R. (1996). Endocrine tumors in Cancer Management: A Multidisciplinary Approach. PRR: Huntington, NY. pp. 468-490.