Thyroid Cancer Prevention

Thyroid Cancer Prevention 2

Thyroid Cancer Prevention 3

Thyroid Cancer Prevention 4

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      Treatment Option Overview

How thyroid cancer is treated
Treatment by stage

How thyroid cancer is treated

There are treatments for all patients with thyroid cancer. Four types of treatment are used:

• Surgery (taking out the cancer).

• Radiation therapy (using high-dose x-rays or other high-energy rays to kill cancer cells).

• Hormone therapy (using hormones to stop cancer cells from growing) .

• Chemotherapy (using drugs to kill cancer cells).

Surgery is the most common treatment of thyroid cancer. A doctor may remove the cancer using one of the following operations:

• Lobectomy removes only the side of the thyroid where the cancer is found. Lymph nodes in the area may be taken out (biopsied) to see if they contain cancer.

• Near-total thyroidectomy removes all of the thyroid except for a small part.

• Total thyroidectomy removes the entire thyroid.

• Lymph node dissection removes lymph nodes in the neck that contain cancer.

Radiation therapy uses high-energy x-rays to kill cancer cells and shrink tumors. Radiation for thyroid cancer may come from a machine outside the body (external radiation therapy) or from drinking a liquid that contains radioactive iodine. Because the thyroid takes up iodine, the radioactive iodine collects in any thyroid tissue remaining in the body and kills the cancer cells.

Hormone therapy uses hormones to stop cancer cells from growing. In treating thyroid cancer, hormones can be used to stop the body from making other hormones that might make cancer cells grow. Hormones are usually given as pills.

Chemotherapy uses drugs to kill cancer cells. Chemotherapy may be taken by pill, or it may be put into the body by a needle in the vein or muscle. Chemotherapy is called a systemic treatment because the drug enters the bloodstream, travels through the body, and can kill cancer cells outside the thyroid.

Treatment by stage

Treatment of thyroid cancer depends on the type and stage of the disease, and the patient’s age and overall health.

Standard treatment may be considered because of its effectiveness in patients in past studies, or participation in a clinical trial may be considered. Not all patients are cured with standard therapy and some standard treatments may have more side effects than are desired. For these reasons, clinical trials are designed to find better ways to treat cancer patients and are based on the most up-to-date information. Clinical trials are ongoing in many parts of the country for some patients with thyroid cancer. To learn more about clinical trials, call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237); TTY at 1-800-332-8615.

Stage I and II Papillary and Follicular Thyroid Cancer

Treatment may be one of the following:

1. Surgery to remove the thyroid (total thyroidectomy). This may be followed by hormone therapy and radioactive iodine.

2. Surgery to remove one lobe of the thyroid (lobectomy), followed by hormone therapy. Radioactive iodine also may be given following surgery.


http://www.cancer.gov/
cancertopics/pdq/treatment/
thyroid/Patient/page3