Saanichton, BC

Dr. Miguel A. Lipka

Thyroid Gland Cancer

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Thyroid cancer is more common among women than men and accounts for only 1 percent of all cancers diagnosed in North America. Most thyroid cancers grow slowly but certain types can be aggressive.

The most common symptom of thyroid cancer is a lump, or nodule, that can be felt in the thyroid gland or neck. Other symptoms are rare. Pain is seldom an early warning sign of thyroid cancer. You may have a tight or full feeling in the neck, difficulty breathing or swallowing, hoarseness or swollen lymph nodes.

There are four major types of thyroid gland cancer -- anaplastic, follicular, medullary and papillary. These types of thyroid cancer look differently under a microscope and generally grow at varying rates.

  • Anaplastic cancer -- Anaplastic cancer is the fastest growing type of thyroid cancer. The cancer cells are extremely abnormal and spread rapidly to other parts of the body. Anaplastic cancers make up only about 2 percent of all thyroid cancers and are generally difficult to cure.

  • Follicular cancer -- This type of cancer also develops in thyroid cells that produce iodine-containing hormones. Most follicular cancers can be cured. About 10 percent to 30 percent of thyroid cancers are follicular cancers. These cancers are well differentiated, meaning slow growing and contain cells that are similar to healthy thyroid cells.

  • Medullary cancer -- Medullary cancer is more difficult to control than papillary and follicular thyroid cancer. The cells involved in medullary cancers produce calcitonin, a hormone that does not contain iodine. About 5 to 7 percent of all thyroid cancers are medullary cancers. Of the four types of thyroid cancer, only medullary thyroid cancer can be inherited, which is caused by an alteration in the RET gene. Individuals who inherit this alteration are almost certain to develop medullary thyroid cancer at some time in their lives.

  • Papillary cancer -- This type of thyroid cancer develops in cells that produce thyroid hormones containing iodine. Papillary cancer is well-differentiated, meaning that it grows very slowly and contains cells that are similar to healthy thyroid cells. Doctors usually can treat these cancers successfully, even when cancer cells have spread to nearby lymph nodes. Papillary cancers account for about 60 percent to 80 percent of all thyroid cancers and have a favorable prognosis.

Thyroid cancer can be treated with radioactive iodine or surgical resection of the thyroid gland. Chemotherapy or radiotherapy may also be used.