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About Thyroid Cancer

About the thyroid

The thyroid is a butterfly-shaped gland at the base of the throat. It has two wings, or lobes, one right and one left. These are connected in the middle. The thyroid gland makes, stores, and releases thyroid hormones (called T3 and T4) that affect almost every cell in your body and help regulate your metabolism.

What is thyroid cancer?

Thyroid cancer is a cancerous tumour or growth in the thyroid gland. Normally, the replacement of old thyroid cells by newly produced cells is constant and regulated. In some cases, certain cells become abnormal and do not follow the regular cycle of growth. When these abnormal cells continue to grow and reproduce in an uncontrolled way, they form a tumour.

There are four main types of thyroid cancer:

  • Papillary
  • Follicular
  • Medullary
  • Anaplastic

Papillary and follicular thyroid cancers are the most common, accounting for 90% of thyroid tumours. These are often referred to as “differentiated” or “well-differentiated” thyroid cancers.

Cancer of the thyroid is more common in women than in men — almost three times as many women as men get thyroid cancer. Thyroid cancer strikes people at a younger age than most other cancers — most patients are between 20 and 54 years old. The chances of recovery depend on what kind of thyroid cancer you have, where it’s located (is it just in the thyroid, or has it spread?), and your age and overall health.

Generally, the prognosis for patients with well-differentiated thyroid cancer is good. Even after successful therapy, however, it is possible for thyroid cancer to return, sometimes decades after initial therapy. This means that it’s important to keep getting routine check-ups as recommended by your doctor. Generally, the earlier you catch a recurrence, the better the chances are for successful treatment.

Diagnosing thyroid cancer

There are several reasons why you or your doctor might suspect thyroid cancer. One of the most common is finding a thyroid nodule, either on your own or in a check-up. A nodule is a lump that you may feel around your thyroid. Nodules are not uncommon, and only about 5% are cancerous.

One of the most common ways to confirm thyroid cancer is with a fine needle aspiration biopsy. During this procedure, a small needle is inserted through the skin into the thyroid nodule, where it draws out a sample of the material inside the nodule. This sample is then examined under a microscope. These biopsies are generally quick and safe, and they don’t usually cause much discomfort.

Causes of thyroid cancer

Often, scientists cannot pinpoint the exact cause of thyroid cancer in a particular patient. Although thyroid cancer can occur in anyone, there are a few factors that have been associated with a higher risk of thyroid cancer. These include:

  • Radiation exposure to the thyroid gland, possibly from radiation therapy to the head, neck, or chest during childhood. Radiation was used far more often before 1960, to shrink enlarged tonsils or adenoids and treat skin problems like acne. You should know that the kind of radiation you get in an x-ray has not been linked to a higher chance of getting thyroid cancer.
  • A family history of thyroid cancer.

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