Papillary thyroid cancer (patient information): Difference between revisions
Jump to navigation
Jump to search
m (Bot: Removing from Primary care) |
|||
| (20 intermediate revisions by 3 users not shown) | |||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Papillary thyroid cancer (patient information)}} | {{Papillary thyroid cancer (patient information)}} | ||
{{CMG}}; {{AE}} {{Ammu}} | {{CMG}}; {{AE}} {{Ammu}}; {{AE}} {{AJL}} | ||
'''For the WikiDoc page for this topic, click [[Papillary thyroid cancer|here]]''' | '''For the WikiDoc page for this topic, click [[Papillary thyroid cancer|here]]''' | ||
==Overview== | ==Overview== | ||
The [[thyroid gland]], a butterfly-shaped gland in the [[neck]], produces body-regulating hormones. Papillary thyroid cancer starts in the [[thyroid gland]] and manifests without early-stage symptoms. As the [[cancer]] further develops, noticeable [[symptoms]] begin to arise, such as vocal [[hoarseness]], difficulty swallowing, a lump in the [[neck]], which can be felt through the [[skin]], neck or throat [[pain]], and [[swollen lymph nodes]]. Treatment options include [[surgery]], [[radiation therapy]], [[chemotherapy]], and thyroid hormone therapy. | |||
==What are the symptoms of papillary thyroid cancer?== | ==What are the symptoms of papillary thyroid cancer?== | ||
While [[patients]] with early papillary thyroid cancer do not present with any [[symptoms]], as the tumor grows larger people may notice one or more of the following [[symptoms]]: | |||
*A nodule, [[lump]], or swelling in the [[neck]], which may be perceptible by touch | |||
*Pain in the throat/neck | |||
*Vocal [[hoarseness]] | |||
*[[Difficulty swallowing]] | |||
*Swollen [[lymph nodes]] | |||
==What causes papillary thyroid cancer?== | ==What causes papillary thyroid cancer?== | ||
* | * While the exact cause of papillary thyroid cancer is unknown, certain [[genetic mutations]] are suspected to be associated with the [[disease]]. | ||
* People who have had radiation therapy to the neck are at higher risk. Radiation therapy was commonly used in the | *People who have had [[radiation therapy]] to the neck area, or as children, are at higher risk for developing papillary thyroid cancer. [[Radiation therapy]] was commonly used in the 1950's to treat [[skin disorders]] and enlarged [[thymus]] gland, [[adenoids]], and [[tonsils]]. | ||
==Who is at highest risk?== | ==Who is at highest risk?== | ||
Clinical data have suggested that the development of papillary thyroid cancer is related to | Clinical data have suggested that the development of papillary thyroid cancer is related to various factors, such as: | ||
:*A diet low in iodine: | :*A diet low in [[iodine]]: papillary thyroid cancers are more common in regions characterized by iodine-deficient diets. | ||
:*Radiation | :*[[Radiation exposure]] | ||
:* | :*[[Patients]] over the age of 45-years | ||
==Diagnosis== | ==Diagnosis== | ||
Firstly, a doctor will likely preform a physical exam (noting [[swollen lymph nodes]] and lumps in the neck that are perceptible by touch) and review patient medical history. Based upon the [[physical examination]] the patient's self-reported symptoms, the doctor may recommend the following tests: | |||
*[[Laryngoscopy]] | |||
*[[Thyroid]] biopsy | |||
*[[Thyroid]] scan | |||
*[[Ultrasound]] of the [[thyroid]] | |||
* Laryngoscopy | |||
* Thyroid biopsy | |||
* Thyroid scan | |||
* Ultrasound of the thyroid | |||
==When to seek urgent medical care?== | ==When to seek urgent medical care?== | ||
Call your health care provider if symptoms of thyroid cancer develop. | Call your health care provider if [[symptoms]] of thyroid cancer develop. | ||
==Treatment options== | ==Treatment options== | ||
Patients with papillary thyroid cancer have many treatment options. The selection depends on the stage of the [[tumor]]. The options are [[surgery]], [[radioactive iodine]], and [[chemotherapy]]. In case [[surgery]] is not viable, [[radiation therapy]] can also be administered. | |||
:*[[Surgery]]: [[Surgery]] is the main treatment for papillary thyroid cancer. Usually, surgery of removing the [[tumor]] and all or part of the remaining [[thyroid gland]] is recommended. | |||
:*[[Radiation therapy]]: It includes radioactive [[Iodine]] (Radioiodine) therapy and [[external beam radiation therapy]]. [[Radioactive iodine]] ([[Radioactive iodine uptake|RAI]]) known as I-131 can be taken into the body to destroy the [[thyroid gland]] and any other [[thyroid]] cells including cancer cells. During [[external beam radiation therapy]], the doctors use high-energy rays to destroy cancer cells or slow their rate of growth. | |||
:*[[Chemotherapy]]: [[Chemotherapy]] is seldom helpful for most types of papillary thyroid cancer. | |||
:*Thyroid hormone therapy: This treatment is to take daily pills of [[thyroid hormone]]. The aim is to help maintain the body's normal metabolism (by replacing missing [[thyroid hormone]]) and prevent some [[thyroid cancers]] from returning. | |||
==Where to find medical care for papillary thyroid cancer?== | ==Where to find medical care for papillary thyroid cancer?== | ||
| Line 71: | Line 51: | ||
==Prevention of papillary thyroid cancer== | ==Prevention of papillary thyroid cancer== | ||
There are no primary preventive measures available for papillary thyroid cancer, although the following may aid in risk reduction: | |||
: | |||
:*Consuming an adequate amount of iodine | |||
:*Avoiding [[radiation exposure]] | |||
:*Alert doctors of [[family history]] | |||
==What to expect (Outlook/Prognosis)?== | ==What to expect (Outlook/Prognosis)?== | ||
The prognosis of papillary thyroid cancer depends on the following: | The [[prognosis]] of papillary thyroid cancer depends on the following: | ||
:*The stage of the cancer: the size of the tumor, whether the cancer has spread outside the thyroid gland | :*The stage of the cancer: the size of the [[tumor]], whether the [[cancer]] has spread outside the [[thyroid gland]] | ||
:*Whether or not the tumor can be removed by surgery | :*Whether or not the [[tumor]] can be removed by [[surgery]] | ||
:* | :*Patient's age | ||
:* Size of the [[tumor]] | |||
==Possible complications== | ==Possible complications== | ||
*Injury to the voice box and hoarseness after | *Injury to the [[voice]] box and [[hoarseness]] after [[thyroid]] [[surgery]] | ||
*Low calcium levels from accidental removal of the parathyroid glands during surgery | *Low [[calcium]] levels from accidental removal of the [[parathyroid glands]] during [[surgery]] | ||
*Spread of the cancer to the lungs, bones, or other parts of the body | *Spread of the [[cancer]] to the [[lungs]], [[bones]], or other parts of the body | ||
==Sources== | ==Sources== | ||
https://www.nlm.nih.gov/medlineplus/ency/article/000331.htm | |||
==References== | ==References== | ||
| Line 97: | Line 77: | ||
[[Category:Patient information]] | [[Category:Patient information]] | ||
[[Category: | [[Category:Endocrine system]] | ||
[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
[[Category:Otolaryngology]] | [[Category:Otolaryngology]] | ||
[[Category:Disease]] | |||
[[Category:Genetic disorders]] | |||
[[Category:Types of cancer]] | [[Category:Types of cancer]] | ||
[[Category: | [[Category:Hereditary cancers]] | ||
[[Category:Thyroid disease]] | |||
Latest revision as of 23:34, 29 July 2020
|
Papillary thyroid cancer |
|
Papillary thyroid cancer On the Web |
|---|
|
Risk calculators and risk factors for Papillary thyroid cancer |
Template:WikiDoc Sources
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]; Associate Editor(s)-in-Chief: Alison Leibowitz [3]
For the WikiDoc page for this topic, click here
Overview
The thyroid gland, a butterfly-shaped gland in the neck, produces body-regulating hormones. Papillary thyroid cancer starts in the thyroid gland and manifests without early-stage symptoms. As the cancer further develops, noticeable symptoms begin to arise, such as vocal hoarseness, difficulty swallowing, a lump in the neck, which can be felt through the skin, neck or throat pain, and swollen lymph nodes. Treatment options include surgery, radiation therapy, chemotherapy, and thyroid hormone therapy.
What are the symptoms of papillary thyroid cancer?
While patients with early papillary thyroid cancer do not present with any symptoms, as the tumor grows larger people may notice one or more of the following symptoms:
- A nodule, lump, or swelling in the neck, which may be perceptible by touch
- Pain in the throat/neck
- Vocal hoarseness
- Difficulty swallowing
- Swollen lymph nodes
What causes papillary thyroid cancer?
- While the exact cause of papillary thyroid cancer is unknown, certain genetic mutations are suspected to be associated with the disease.
- People who have had radiation therapy to the neck area, or as children, are at higher risk for developing papillary thyroid cancer. Radiation therapy was commonly used in the 1950's to treat skin disorders and enlarged thymus gland, adenoids, and tonsils.
Who is at highest risk?
Clinical data have suggested that the development of papillary thyroid cancer is related to various factors, such as:
- A diet low in iodine: papillary thyroid cancers are more common in regions characterized by iodine-deficient diets.
- Radiation exposure
- Patients over the age of 45-years
Diagnosis
Firstly, a doctor will likely preform a physical exam (noting swollen lymph nodes and lumps in the neck that are perceptible by touch) and review patient medical history. Based upon the physical examination the patient's self-reported symptoms, the doctor may recommend the following tests:
- Laryngoscopy
- Thyroid biopsy
- Thyroid scan
- Ultrasound of the thyroid
When to seek urgent medical care?
Call your health care provider if symptoms of thyroid cancer develop.
Treatment options
Patients with papillary thyroid cancer have many treatment options. The selection depends on the stage of the tumor. The options are surgery, radioactive iodine, and chemotherapy. In case surgery is not viable, radiation therapy can also be administered.
- Surgery: Surgery is the main treatment for papillary thyroid cancer. Usually, surgery of removing the tumor and all or part of the remaining thyroid gland is recommended.
- Radiation therapy: It includes radioactive Iodine (Radioiodine) therapy and external beam radiation therapy. Radioactive iodine (RAI) known as I-131 can be taken into the body to destroy the thyroid gland and any other thyroid cells including cancer cells. During external beam radiation therapy, the doctors use high-energy rays to destroy cancer cells or slow their rate of growth.
- Chemotherapy: Chemotherapy is seldom helpful for most types of papillary thyroid cancer.
- Thyroid hormone therapy: This treatment is to take daily pills of thyroid hormone. The aim is to help maintain the body's normal metabolism (by replacing missing thyroid hormone) and prevent some thyroid cancers from returning.
Where to find medical care for papillary thyroid cancer?
Directions to Hospitals Treating thyroid cancer
Prevention of papillary thyroid cancer
There are no primary preventive measures available for papillary thyroid cancer, although the following may aid in risk reduction:
- Consuming an adequate amount of iodine
- Avoiding radiation exposure
- Alert doctors of family history
What to expect (Outlook/Prognosis)?
The prognosis of papillary thyroid cancer depends on the following:
Possible complications
- Injury to the voice box and hoarseness after thyroid surgery
- Low calcium levels from accidental removal of the parathyroid glands during surgery
- Spread of the cancer to the lungs, bones, or other parts of the body
Sources
https://www.nlm.nih.gov/medlineplus/ency/article/000331.htm