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Thyroid Cancer: Types, Symptoms, and Treatment

Nov 19, 2022

cancer care

Thyroid Cancer

Cancer is a deadly condition that can occur in any part of our body. When it occurs in the thyroid gland (a small butterfly-shaped gland located at the bottom of your neck), it’s called thyroid cancer. Thyroid cancer is mostly diagnosed at a younger age compared to other adult cancers. The American Cancer Society reveals that approximately 11,860 men and 31,940 women are estimated to be diagnosed with thyroid cancer in 2022, and out of them, 1,070 men and 1,160 women will die from it.

However, it’s not as fatal as other cancers, and knowing its types, prevalence, and symptoms will help you diagnose and treat it earlier, increasing your prognosis (chance of recovery). Let’s discuss them.

Types of Thyroid Cancer

There are several types of thyroid cancer, such as;

Papillary Thyroid Cancer

Contributing to about 80% of thyroid cancer diagnoses, papillary thyroid cancer develops in only one thyroid gland lobe. It grows gradually but often spreads to the lymph nodes of the neck. It can be successfully treated when found earlier.

Subtypes of papillary thyroid cancer are:

  • Mixed-papillary follicular variant
  • Insular
  • Columnar
  • Diffuse sclerosing
  • Tall cell

Follicular Thyroid Cancer

About 1 out of 10 people have follicular thyroid cancer in the US. Though follicular thyroid cancer doesn’t spread to the lymph nodes, it can spread to other body parts, such as the bones and lungs.

Medullary Thyroid Cancer

It’s found in about 4% of people with thyroid cancer. It starts in the thyroid gland’s C cells that produce calcitonin (a hormone to control the amount of calcium in the blood). Sometimes, this cancer can spread to the lungs, liver, or lymph nodes even before the thyroid nodule is found.

Types of medullary thyroid cancer (MTC) are:

  • Sporadic MTC – Consists of 75-80% of MTC diagnoses and affects one thyroid lobe. It’s not inherited and hence, more common in seniors.

  • Familial MTC – It’s inherited, accounting for 20%-25% of MTC diagnoses, and begins in childhood or early adulthood, affecting both lobes.

Anaplastic Thyroid Cancer

It’s a rare type, affecting only 2% of people with thyroid cancer. Sometimes, it’s considered to be developed from an existing follicular or papillary cancer. Though rare, anaplastic thyroid cancer can quickly spread to the neck and other body parts, making it difficult to treat.

Where Does Thyroid Cancer Spread First?

Almost 30% of people suffering from thyroid cancer have metastatic thyroid cancer, which means cancer has spread to other body parts from the thyroid gland. Out of these people, nearly 26% have had cancer spread to the lymph nodes in the neck, and 1-4% have had cancer spread to other body parts such as the bones and lungs.

Thyroid Cancer Symptoms

Symptoms of thyroid cancer can include:

  • A lump in your throat
  • Voice changes (hoarseness)
  • Difficulty breathing
  • Neck pain (sometimes radiating to the ears)
  • Persistent cough and sore throat
  • Nodules or swelling in your neck
  • Difficulty swallowing

How Serious Is Thyroid Cancer?

Generally, thyroid cancer is treatable, whether localized (contained in the thyroid gland) or metastatic (spreads outside of the thyroid gland). If diagnosed earlier, thyroid cancer can be completely cured.

Thyroid Cancer Treatment Options

Your oncologist may recommend any of the following treatments depending on your age, overall health condition, and the stage and spread of your cancer:

Surgery

  • Lobectomy – Removes the affected thyroid lobe and nearby lymph nodes. It’s recommended for small, well-differentiated localized thyroid cancers.

  • Total Thyroidectomy – Removes the entire thyroid gland and the nearby lymph nodes in the neck/chest. It’s recommended for metastatic thyroid cancers.

Thyroid Hormone Therapy

It’s recommended after surgery (removal of the thyroid gland) to:

  • Replace the thyroid hormones (if your thyroid gland is completely removed)
  • Suppress the growth of thyroid-stimulating hormones (if your thyroid cancer is aggressive)

Radioactive Iodine Ablation

It uses radioactive iodine to destroy abnormal thyroid cells and remaining thyroid cancer cells after surgery. It is mostly recommended for treating differentiated metastatic thyroid cancers.

Other treatment options for advanced thyroid cancers include:

Immunotherapy

It stimulates your immune system to boost its ability to fight thyroid cancer.

Radiation Therapy

It uses high-energy X-ray beams and protons to destroy thyroid cancer cells and shrink tumors.

Chemotherapy

You will be asked to take IV or oral drugs to destroy thyroid cancer cells.

Targeted Drug Therapy

It uses specific drugs that target the gene mutation/protein of your thyroid cancer cells, causing them to die.

What Is the Life Expectancy of Thyroid Cancer?

The general 5-year survival rate of thyroid cancer is 98%, but it varies depending on the type and spread of the thyroid cancer.

The 5-year survival rate of localized:

  • Medullary, papillary, and follicular thyroid cancers - 100%
  • Anaplastic thyroid cancer - 34%

The 5-year survival rate of regional (spread to the nearby tissues/organs):

  • Papillary thyroid cancer – 99%
  • Medullary thyroid cancer – 90%
  • Follicular thyroid cancer – 98%
  • Anaplastic thyroid cancer – 9%

The 5-year survival rate of metastatic (spread to the distant body parts):

  • Papillary thyroid cancer – 75%
  • Medullary thyroid cancer – 40%
  • Follicular thyroid cancer – 63%
  • Anaplastic thyroid cancer – 4%

Contact COHA for Thyroid Cancer Diagnosis and Treatment

If you experience any thyroid cancer symptoms, schedule an appointment with us today at Chesapeake Oncology-Hematology Associates for prompt diagnosis and care. Our experienced oncologists will create a customized thyroid cancer treatment plan and also provide medical guidance for your ongoing care.

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