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Thyroid Cancer
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The thyroid is one of the
biggest endocrine glands in the human
body. Other endocrine
glands include the pituitary and adrenal glands. Endocrine
glands are responsible for secreting types of hormones to
regulate the many different functions of an organism. These
functions can range from growth and development, mood, tissue
function, and metabolism. The thyroid is
butterfly-shaped and consists of two cone-shaped lobes (left and
right lobe). It is situated in the frontal part of the neck and
lays against the larynx and trachea. |
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Under a microscope, there are three identifiable
features of the thyroid: follicles, thyroid
epithelial cells (follicular cells), and para follicular cells (C cells). The
main functions of the thyroid are to regulate
hormones that control blood pressure, heart
rate, weight, and temperature. |
Thyroid Cancer Causes:
Currently,
researchers are still investigating thyroid
cancer
causes to better understand how and why people
contract this disease. Although there is a
somewhat significant understanding about what
gives a person an increased risk of developing
thyroid
cancer, such as gender and age, there are no
absolutely clear thyroid
cancer
causes. Researchers have made several steps in
discovering the nature of
cancer,
and they understand that
cancer
is generally the result of DNA in thyroid cells
becoming damaged and dividing into new,
similarly damaged cells. Also, there are certain
genes inside a person's DNA that prevent rapid
cell division from taking place. If these genes
are turned off, cells can begin dividing
uncontrollably, forming tumors. There is no
clear understanding as to why this happens, and
many of these DNA mutations occur for apparently
no reason at all, though it could be a result of
one's environment. Papillary Thyroid
Cancer Causes:
DNA mutations have been discovered in cases of
papillary thyroid
cancer.
These mutations have been localized by
scientists in the RET gene. The damaged version
of this gene is found in about 10 to 30 percent
of all cases of papillary thyroid
cancer.
Children have a higher risk of possessing these
DNA mutations. RET mutations are thought to be
caused by the environment, and are not present
from birth. About 30 to 70 percent of papillary
thyroid cancers show evidence of a mutation in
what is called the BRAF gene. This is a type of
mutation that rarely occurs in children, and is
suspected to be caused by exposure to large
amounts of radiation. These types of mutations
cause cancers to grow very rapidly and in most
cases, usually spread to other parts of the
body
during the cancer's progression. Other gene
mutations included in papillary thyroid
cancer
causes are the NTRK1 gene and MET gene.
Follicular Thyroid Cancer Causes: In almost all
instances of follicular thyroid
cancer,
mutation of the RAS oncogene has been reported.
Anaplastic Thyroid Cancer Causes: Anaplastic
thyroid cancers usually have a mutation like the
ones described above, but in addition, changes
in the p53 tumor suppressor gene are also
apparent.
Medullary Thyroid Cancer Causes: Medullary
thyroid
cancer (MTC) is a type of thyroid
cancer
that is caused by several types of mutations in
the RET gene, similar to mutations that cause
papillary carcinoma. Inherited MTC almost always
has this evidence, and 20 percent of patients
with non-inherited MTC have the RET gene
mutation. Other types of mutations may also
cause MTC. Usually, patients can be tested for
these mutations in any cell in their
body,
usually through testing DNA in the blood. |
Symptoms of Thyroid Cancer:
Your thyroid is
one of the largest endocrine glands in your
body. It
is situated in the frontal (anterior) portion of
the neck and consists of two lobes that give it
a butterfly-like shape. Its sole purpose is to
make thyroid hormones which regulates the body's
metabolism and thus the thyroid affects nearly
every tissue in the
body.
The earliest symptoms of thyroid
cancer
include a lump in the neck, usually in close
proximity to the Adam's apple; voice hoarseness
or a change in the sound of a person's voice;
noticeably swollen lymph nodes in the neck;
difficulty swallowing or even breathing; and a
pain in the back of the throat or in the neck
area.
However, despite its widespread reach, the signs
and symptoms of thyroid
cancer
are surprisingly nondescript. Thyroid
cancer
symptoms can range from hoarseness of the voice,
neck pain, enlargement of the lymph nodes and
thyroid gland. All of these thyroid
cancer
symptoms can be commonly associated with a wide
array of less serious diseases.
It is important to remember that the following
symptoms of thyroid
cancer
are not conclusive diagnostic indicators. The
signs and symptoms of thyroid
cancer
are similar to those of other thyroid
complications and the best advice is to visit
your doctor about any possible thyroid
cancer
symptoms. Usually, the symptoms of thyroid
cancer
arise far too late to prevent the onset of it;
however, excluding the anaplastic variant,
thyroid
cancer is easily curable.
It is also important to note that the majority
of people who experience thyroid
cancer
symptoms do not have
cancer.
About 99% of all lumps or nodules are not
cancerous, and therefore are not actually
thyroid
cancer symptoms. In addition, most people
will not experience symptoms of thyroid
cancer
until it is in a more advanced stage. Your
doctor must perform the necessary diagnostics to
determine if you have thyroid
cancer |
Thyroid Cancer Prevention:
Most patients who have been diagnosed with
thyroid
cancer had no known risk factors.
Researchers are still trying to determine what
the exact cause of thyroid
cancer
is, but until then, methods of effective thyroid
cancer
prevention are currently unknown. The one thing
researchers do know is that few cases of thyroid
cancer
have been linked to large amounts of radiation
exposure. Many scientists also believe that
radiation exposure during a person's childhood
puts a person even more at risk for developing
thyroid
cancer. Thyroid
cancer
prevention usually involves limiting children's
exposure to x rays and other forms of radiation,
unless it is mandatory.
Currently, another step toward
further thyroid
cancer
prevention is the MTC genetic blood test. This
is a blood test given to people to determine if
they have a gene mutation that is known to be
linked to thyroid
cancer.
If a person is found to be at risk of MTC, he or
she can have their thyroid gland removed to
ensure prevention of the MTC form of thyroid
cancer.
In addition, if this mutation is found in one
family member, it is highly recommended by
doctors that all untested family members be
screened for the mutation as well. This is
because research suggests that this gene
mutation runs through the family. Parent's who
have the mutation are likely to pass it down to
their children.
If a person knows that his or her family members
have had MTC genetic mutations, he or she should
think about receiving the blood test to
determine if he or she is at risk. Contacting a
genetic counselor will allow the person to
receive further information about thyroid
cancer
and what the procedure involves. These are the
only methods of thyroid
cancer
prevention that have been proven to be effective
so far. Gene research is continuing, however,
with the hopes of finding further breakthroughs
in thyroid
cancer
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Thyroid
Cancer Screening:
Fortunately,
many cases of thyroid
cancer
are found quite early; much more so than in the
past. In a lot of these cases, early thyroid
cancer
screening can lead to a successful treatment.
Thyroid
cancer is usually tested for after patients
find obvious symptoms of early thyroid
cancer.
These early symptoms usually come in the form of
bumps or nodules. Routine checkups are also an
effective way of undergoing thyroid
cancer
screening. Although it is quite uncommon, some
thyroid cancers fail to show symptoms until more
advanced stages of the disease. This is usually
not the case, however, and a thyroid
cancer
screening will often be a useful and effective
tool to find cases of thyroid
cancer.
Patients who are developing thyroid
cancer
commonly develop a lump or an unusual swelling
in their neck. If these symptoms do not go away
on their own, patients are recommended to
receive a thyroid
cancer
screening and
cancer-focused
checkup with their physicians. Since this
practice is generally quite typical of thyroid
cancer
cases, doctors recommend that people check for
any abnormalities in their neck at least twice a
year, as this can be a sign of thyroid
cancer
or another serious disease.New advances in
ultrasound technology allow doctors to screen
for thyroid
cancer. An ultra sound is a device that uses
power sound waves to create an image on a
monitor. An endoscopic ultrasound is an
ultrasound device that is put inside a persons
body to
gain an even more accurate image of the area of
the thyroid. If a cyst or another abnormality is
found, a doctor may begin further tests for
thyroid
cancer. Unrelated health problems can also
lead to the detection of thyroid
cancer.
Some people may experience other problems in
their neck area, such as carotid arteries, which
is a condition where the arteries that supply
blood to the brain in the neck become narrower.
If a person has an ultrasound test for another
condition, such as this, in the neck, thyroid
cancer
may be discovered. These are common ways for
physicians to find thyroid
cancer
in its early stages, but doctors do not usually
recommend ultrasound tests or blood tests unless
a patient has a family history of thyroid
conditions. Genetic testing is another common
form of thyroid
cancer
screening, although it does not always prove
that a person will get thyroid
cancer;
rather it determines if they are at a high risk
for developing it. Patients who have a family
history of medullary thyroid carcinoma (MTC)
usually receive genetic testing to discover if
they are at risk. These tests are usually done
when a person is very young. Blood tests can
also find this abnormality, but they are
generally used to detect the presence of the
cancer |
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Thyroid
Cancer Staging:
Like
most other cancers, thyroid f="http://www.saygeneral.com">
cancer staging is organized based on
the TNM system created by the American
Joint Committee on Cancer (AJCC). In
this system, T represents the size of
the primary tumor and how it has spread
to nearby tissues. N indicates whether
the tumor has spread to nearby lymph
nodes (glands of the immune system used
to fight
infection), and M describes if the
cancer has metastasized (spread to
distant regions of the
body).
In the thyroid
cancer staging system, the numbers
appearing after the three letters
describe how much the tumor has
progressed in each one of those
categories. After each attribute of the
tumor has been identified, the tumor can
then be placed in one of four different
stages from I to IV, IV being the most
advanced in the thyroid
cancer
T1a:
The tumor is 1
centimeter across
and has not yet
grown out of the
thyroid.
T1b:
The tumor is larger
than 1 centimeter
and has not yet
grown out of the
thyroid.
T2:
The tumor is between
2 centimeters and 4
centimeters in
diameter, but has
not yet grown out of
the thyroid.
T3:
The tumor is larger
than 4 centimeters
in diameter and has
begun growing into
nearby tissue next
to the thyroid.
T4a:
The tumor is of any
size and has grown
far beyond just the
thyroid gland and
into other tissue
inside the neck,
larynx, trachea, and
esophagus. This is
considered to be a
moderately advanced
category in the
thyroid staging
system.
T4b:
The tumor is of any
size and has grown
to the spine and
into nearby major
blood vessels. This
is known as very
advanced disease.
N Category in the
Thyroid Cancer
Staging System:
NX:
Lymph nodes nearby
could not be
assessed.
N0:
There is no evidence
that the lymph nodes
have been invaded by
the tumor.
N1:
The
cancer is found
to have spread to
nearby lymph nodes.
N1a:
The lymph nodes
around the neck area
have been invaded by
the tumor. Lymph
nodes include
pretracheal,
paratracheal, and
prelaryngeal.
N1b:
Lymph nodes further
from the thyroid
have been affected,
including the
retropharyngeal
(near the throat)
and the superior
mediastinal, which
are located in the
chest.
M Category in the
Thyroid Cancer
Staging System:
MX:
Metastasis was
unable to be
assessed.
M0:
There is no evidence
that the tumor has
spread to distant
parts of the
body.
M1:
Metastasis has
occurred, including
distant lymph nodes
and other internal
organs.
Stages:
After a doctor
assesses the three
categories above,
they are placed
together to
determine the stage
that the
cancer is
classified under.
The stage is
determined by
several factors,
including the type
of thyroid
cancer the
patient has, and the
attributes of the
TNM categories.
Stage I is the
earliest form of the
cancer while
stage IV is the most
advanced step of the
cancer.
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