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'''For the WikiDoc page for this topic, click [[Anaplastic thyroid cancer|here]]'''
'''For the WikiDoc page for this topic, click [[Anaplastic thyroid cancer|here]]'''


{{CMG}}
{{CMG}} {{AE}} {{Sahar}}


==Overview==
==Overview==
Anaplastic thyroid carcinoma is a rare and aggressive form of cancer of the thyroid gland.
[[Thyroid cancer]] is a [[disease]] in which [[malignant]] ([[cancer]]) cells form in the [[tissues]] of the [[thyroid gland]]. [[Signs]] of [[thyroid cancer]] include swelling or lump in the [[neck]]. [[Age]], [[gender]], and being exposed to [[radiation]] can affect the risk of [[thyroid cancer]]. Certain factors affect [[prognosis]] (chance of recovery) and treatment options.


==What are the symptoms of Anaplastic thyroid cancer?==
==What are the symptoms of Anaplastic thyroid cancer?==
* Coughing up blood
* Coughing up [[blood]]
* Difficulty swallowing
* Difficulty swallowing
* Hoarseness or changing voice
* [[Hoarseness]] or changing the voice
* Loud breathing
* Loud breathing
* Lower neck mass, often noted to be rapidly enlarging
* Lower neck mass, often noted to be rapidly enlarging


==What causes Anaplastic thyroid cancer?==
==What causes Anaplastic thyroid cancer?==
* Genetic [[mutation]] is suspected to be the main cause of anaplastic thyroid cancer.
* [[Genetic]] [[mutation]] is suspected to be the main cause of anaplastic thyroid cancer.


==Who is at highest risk?==
==Who is at highest risk?==
It occurs most often in people over age 60.
* A history of [[goiter]]
 
* Family history of [[thyroid]] [[disease]]
Anaplastic cancer accounts for only about 1% of all thyroid cancers.
* Female gender
* [[Asian]] race
* Age between 25 and 65 years old.
* Exposure to [[radiation]] to the head and neck as an infant or child or being exposed to [[radioactive]] fallout


==Diagnosis==
==Diagnosis==
A physical examination almost always show a neck mass.
* A physical examination almost always shows a [[neck mass]]
 
* A [[CT scan]] or [[MRI]] of the neck may show a [[tumor]] growing from the [[thyroid gland]]
* A CT scan or MRI of the neck may show a tumor growing from the thyroid gland.
* A [[thyroid]] [[biopsy]] shows anaplastic cancer.
* A thyroid biopsy shows anaplastic cancer.
* An examination of the airway with a fiberoptic scope (laryngoscopy) may show a paralyzed [[vocal cord]]
* An examination of the airway with a fiberoptic scope (laryngoscopy) may show a paralyzed vocal cord.
* A [[thyroid]] scan shows this [[mass]] to be "cold," meaning it does not absorb a [[radioactive]] isotope
* A thyroid scan shows this mass to be "cold," meaning it does not absorb a radioactive isotope.
* [[Thyroid function]] blood tests are usually normal
 
Thyroid function blood tests are usually normal.
 
==When to seek urgent medical care?==
==When to seek urgent medical care?==
Call your health care provider if there is a persistent lump or mass in the neck, hoarseness, changing voice, cough, or coughing up blood.
Call your health care provider if there is a persistent lump or [[mass]] in the neck, [[hoarseness]], changing voice, cough, or coughing up blood.
 
==Treatment options==
==Treatment options==
This type of cancer cannot be cured by surgery. For most patients, complete removal of the thyroid gland does not prolong their life.
* Treatment may include the following:
 
** [[Total thyroidectomy]] (removal of the [[thyroid gland]]) as [[palliative therapy]] to relieve [[symptoms]] and improve the quality of life for [[patients]] whose [[cancer]] is in or near the [[thyroid]]
Of other treatment options, only radiation therapy combined with chemotherapy give significant benefit.
** [[Tracheostomy]] as palliative therapy to relieve [[symptoms]] and improve the quality of life
 
** [[External radiation therapy]]
Surgery to place a tube in the throat to help with breathing (tracheostomy) or in the stomach to help with eating (gastrostomy) may be needed.
** [[Chemotherapy]]
 
** Targeted therapy with protein kinase inhibitors ([[dabrafenib]] and [[trametinib]]) for [[patients]] with a certain [[mutation]] in the [[BRAF gene]]
For some patients, enrolling in a clinical trial of new thyroid cancer treatments may be an option.
==Where to find medical care for Anaplastic thyroid cancer?==
==Where to find medical care for Anaplastic thyroid cancer?==
[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Anaplastic thyroid cancer}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wl Directions to Hospitals Treating Anaplastic thyroid cancer]
[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Anaplastic thyroid cancer}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wl Directions to Hospitals Treating Anaplastic thyroid cancer]
==What to expect (Outlook/Prognosis)?==
==What to expect (Outlook/Prognosis)?==
The prognosis of this disease is poor. Most people do not survive longer than 6 months due to the aggressive nature of this disease and lack of effective treatment options.
* The [[prognosis]] of this [[disease]] is poor.  
* Most people do not survive longer than 6 months due to the aggressive nature of this [[disease]] and lack of effective treatment options.
* The [[prognosis]] (chance of recovery) and treatment options depend on the following:
* The age at the time of [[diagnosis]]
* The stage of the [[cancer]]
* The patient's general health


==Possible complications==
==Possible complications==
* Spread of tumor within the neck
* Spread of [[tumor]] within the neck
* Metastasis (spread) of cancer to other body tissues or organs
* [[Metastasis]] (spread) of [[cancer]] to other body [[tissues]] or organs


==Sources==
==Sources==

Latest revision as of 18:18, 7 October 2019

Anaplastic thyroid cancer

Overview

What are the symptoms?

What are the causes?

Who is at highest risk?

Diagnosis

When to seek urgent medical care?

Treatment options

Where to find medical care for Anaplastic thyroid cancer?

What to expect (Outlook/Prognosis)?

Possible complications

Anaplastic thyroid cancer On the Web

Ongoing Trials at Clinical Trials.gov

Images of Anaplastic thyroid cancer

Videos on Anaplastic thyroid cancer

FDA on Anaplastic thyroid cancer

CDC on Anaplastic thyroid cancer

Anaplastic thyroid cancer in the news

Blogs on Anaplastic thyroid cancer

Directions to Hospitals Treating Anaplastic thyroid cancer

Risk calculators and risk factors for Anaplastic thyroid cancer

For the WikiDoc page for this topic, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Thyroid cancer is a disease in which malignant (cancer) cells form in the tissues of the thyroid gland. Signs of thyroid cancer include swelling or lump in the neck. Age, gender, and being exposed to radiation can affect the risk of thyroid cancer. Certain factors affect prognosis (chance of recovery) and treatment options.

What are the symptoms of Anaplastic thyroid cancer?

  • Coughing up blood
  • Difficulty swallowing
  • Hoarseness or changing the voice
  • Loud breathing
  • Lower neck mass, often noted to be rapidly enlarging

What causes Anaplastic thyroid cancer?

  • Genetic mutation is suspected to be the main cause of anaplastic thyroid cancer.

Who is at highest risk?

Diagnosis

When to seek urgent medical care?

Call your health care provider if there is a persistent lump or mass in the neck, hoarseness, changing voice, cough, or coughing up blood.

Treatment options

Where to find medical care for Anaplastic thyroid cancer?

Directions to Hospitals Treating Anaplastic thyroid cancer

What to expect (Outlook/Prognosis)?

  • The prognosis of this disease is poor.
  • Most people do not survive longer than 6 months due to the aggressive nature of this disease and lack of effective treatment options.
  • The prognosis (chance of recovery) and treatment options depend on the following:
  • The age at the time of diagnosis
  • The stage of the cancer
  • The patient's general health

Possible complications

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/000352.htm

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