Thyroid Cancer

Page 1

Life after Treatment Cure rate of the thyroid tumor is above

90%

ģǙőŤē İőĖ ęĔżĩŤē

ŧēijŴĉ ŮŨ ųťŤē ūıĎĖ ĆĔřĽŤē ĚėĹŬ ĴėĝőĜ ŮŨ ĴġŠĉ ĚżŜijİŤē ęİŕŤē

ęİŕŤē ŧēijŴĊĖ ŮżŁĭĽũŤē ŹńĴũŤē ĚżėťŔĉ ŦšĽĖ ŪŲĜĔżĨ ĚŤŴēĶŨ ūŴįŴĔőŻ ĚżŜijİŤē ģǙőŤē İőĖ Žőżėň

The majority of patients with thyroid tumor can return to their usual life activities

Patients who had their thyroid gland removed would have to take thyroxine replacement pills for life

9LWDPLQ ' į ŮżŨĔĝżŘ

ĚżŜijİŤē ęİŕŤē ţĔŁđĝĸē ĚżťũŐ İőĖ ĕŵėĨ IJĬĉ ŹŤč ŹńĴũŤē ģĔĝĩŻ ęĔżĩŤē ŶİŨ ٿŊŴĴŻĔĠ Calcium ŧŵżĹŤĔŠ

Calcium and vitamin D supplements may be necessary in some cases after surgery ūŵšĜ İŜ į ŮżŨĔĝżŘŴ ŧŵżĹŤĔŠ ĕŵėĨ ěǘĔĩŤē ņőĖ ŽŘ ĚżťũőŤē İőĖ ĚŻijŴĴń


Common misconceptions about Thyroid gland Tumors ŪżűĔřũŤē ņőĖ ĪżĩŁĜ ĚżŜijİŤē ęİŕŤē ŧēijŴĉ ŮŐ ĚđňĔĭŤē Diagnostic radiological studies such as x-ray not proven to be associated with thyroid tumor Iodine is different than chemotherapy FNA does not cause cancer

ĚżŭżĹŤē ĚőļǜĔŠ ĚżŁżĭĽĝŤē Ěőļǜē ĘėĹũŠ ĔŲňĔėĜijč ĞėġŻ ŪŤ ţĔġũŠ ĚżŜijİŤē ęİŕŤē ŧēijŴǜ ŽĐĔżũżšŤē ģǙőŤē ŮŐ ŚťĝĭŻ ŒĽũŤē įŵżŤē ūĔňĴĹŤē ĘėĹŻ ǘ ĚŐĶĬ Ŵĉ ĚŭżŐ IJĬĉ


Diagnosis Physical exam Nasal endoscopy Biopsy 2QFH WKH GLDJQRVLV LV FRQ¿UPHG 7KH GRFWRU RUGHUV LPDJLQJ VWXGLHV WR GHWHUPLQH WKH H[WHQW 6WDJH RI WKH FDQFHU

łżĭĽĝŤē źĴŻĴĹŤē łĩřŤē ŽřŬǜē ijĔōŭũŤē ĚŐĶĭŤē ĘżėʼnŤē ŧŵŝŻ ȕłżĭĽĝŤē İżŠĊĜ ŪĜ ēıč ŶİŨ ĚŘĴőũŤ ĚŻĴŻŵŁĜ ěĔőļĉ ĘťʼnĖ ūĔňĴĹŤē ĚťĨĴŨ ijĔĽĝŬē

Treatment methods 7KH WUHDWPHQW ZLOO GHSHQG RQ WKH 7XPRU VWDJH HDUO\ RU DGYDQFHG 7KH PDLQ WUHDWPHQW RSWLRQ LV 5DGLRWKHUDS\ ZLWK RU ZLWKRXW FKHPRWKHUDS\

ģǙőŤē śĴň

ŧĉ ĴšėŨ ŃĴũŤē ĚťĨĴŨ ŹťŐ ģǙőŤē İũĝőŻ ģǙőŤē ŵű ģǙőťŤ ŽĸĔĸǜē ijĔżĭŤē ĴĬĊĝŨ źŴĔũżšŤē ģǙőŤē ūŴİĖ Ŵĉ ŒŨ ŽŐĔőļǞē Tumor Grading

1 CM

2 CM

4 CM

5 CM


LARYNX 7KH ODU\Q[ D SDUW RI WKH WKURDW EHWZHHQ WKH EDVH RI WKH WRQJXH and the trachea.

ęĴĥŭĩŤē ƿ ŮżĖ ŒŝĜ ŞťĩŤē ŮŨ ĆĶĤ Žű ęĴĥŭĩŤē ĚżĐēŵŲŤē ĚėŁŝŤēŴ ūĔĹťŤē ĚŻĔŲŬ

Signs and Symptoms Hoarseness or any voice changes for more than 3 weeks. Lump in the neck. 6RUH WKURDW RU GLI¿FXOW\ LQ VZDOORZLQJ IRU PRUH WKDQ ZHHNV

ŃēĴŐǜēŴ ěĔŨǙőŤē

6RPH V\PSWRPV FDQ KDSSHQHG ZLWK ODU\QJHDO FDQFHU RU RWKHU VLPSOH PHGLFDO FRQGLWLRQV VXFK DV: 'LI¿FXOW\ LQ EUHDWKLQJ Chronic ear pain

or chronic cough

ěŵŁŤē ŽŘ ěēĴżŕĜ źĉ Ŵĉ ħŵĩėŨ ěŵŀ ŒżĖĔĸĉ ǩ ŮŐ İŻĶĜ ęİũŤ ĚėŜĴŤē ŽŘ ĆŵĝŬ ŒťėŤē ŽŘ ŦŠĔĽŨ Ŵĉ ęĴĥŭĩŤē ŽŘ ĕĔŲĝŤē ŒżĖĔĸĉ ǩ ŮŐ İŻĶĜ ęİũŤ ūĔňĴĹŤ ĚĥżĝŬ ŃēĴŐǜē ůIJű ņőĖ ŶĴĬĉ Ěżĩŀ ŦŠĔĽŨ Ŵĉ ęĴĥŭĩŤē ŦġŨ ųʼnżĹĖ ȕĺřŭĝŤē ŽŘ ŦŠĔĽŨ ūıǜē ŽŘ ŮŨĶŨ ŪŤĉ ĴũĝĹŨ ţĔőĸ


Diagnosis Laryngoscope Biopsy CT scan/ MRI

Biopsy

ęĴĥŭĩŤē ĴżōŭĜ

łżĭĽĝŤē Laryngoscope

ęĴĥŭĩŤē ĴżōŭĜ ĚŐĶĬ IJĬĉ ĚżőʼnŝũŤē ĚőļǜĔĖ ĴŻŵŁĝŤē ŽĹżňĔŭŕũŤē ŮżŬĴŤē

ĚŐĶĤ IJĬĉ

CT scan/ MRI

ĚőļǜĔĖ ĴŻŵŁĝŤē ŮżŬĴŤē ĚżőʼnŝũŤē ŽĹżňĔŭŕũŤē

Treatment Options Surgery Chemotherapy Radiotherapy

ģǙőŤē ěēijĔżĬ ĚĨēĴĥŤē źŴĔũżšŤē ģǙőŤē ŽŐĔőļǞē ģǙőŤē


Life after Treatment stoma

ģǙőŤē İőĖ ęĔżĩŤē

The surgeon may need to make a stoma. The stoma is a new airway through an opening in the front of the patient neck. Air enters and leaves the trachea and lungs through this opening.

ĚƸƸėŁŝŤē ĘƸƸŝĠ ĚƸƸżĐēŵŲŤē

ĴũŨ ŵű ĘŝġŤē ēIJűŴ ȕĘŝĠ ŦũŐ ŹŤč ħēĴĥŤē ģĔĝĩŻ İŜ ĚėŜĴŤē ĚŨİŝŨ ŽŘ ĚĩĝŘ ţǙĬ ŮŨ İŻİĤ ŽĐēŵű ŮŨ ŮżĝĐĴŤēŴ ĚżĐēŵŲŤē ĚėŁŝŤē ŮŨ ģĴĭŻŴ ĆēŵŲŤē ŦĬİŻ ĘŝġŤē ēIJű ţǙĬ

Learning to speak again Laryngeal tumor and its treatment can cause problems with talking. A speech-language pathologist can assess the patient’s need and plan therapy, which may include speech exercises.

ğİƸƸĩĝŤē ŪƸƸťőĜ ŶĴĬĉ ęĴƸƸŨ ģǙőŤēŴ ęĴĥŭĩŤē ŧijŴ ĘėĹŻ ūĉ ŮšũŻ ŧŵŝŻŴ ğİĩĝŤē ŽŘ ŦŠĔĽŨ ųŭŨ ŪżżŝĝĖ ĘňĔĭĝŤēŴ ŞʼnŭŤē źĆĔŁĬĉ ĚʼnĭŤē ŒńŴŴ ņŻĴũŤē ěĔĤĔżĝĨē ŦũĽŻ İŜ ēIJűŴ ȕĚŨĵǙŤē ĚżĤǙőŤē ğİĩĝŤē ŹťŐ ĘŻijİĝŤē


Smoking Smoking and tobacco chewing are considered from the most important causes for head and neck cancer, /DU\QJHDO FDQFHU VSHFLÂżFDOO\ ,W LV DQ avoidable risk factor.

ŎşďİÄ?ŤÄ“ ŌŨēžőŤÄ“ ŪŹĉ ŎŨ Ĺ–Ä—Ä?ŤÄ“ Ĺ–Ĺ…ŨŴ ŎşďİÄ?ŤÄ“ Ä´Ä—Ä?Ĺ‘Ĺť ŧÄ”Ĺ? ŌťĽĖ ŞŭőŤÄ“Ĺ´ ġĉĴŤÄ“ ŧÄ“ijŴÇœ ĚėėĚŊŤÄ“ ĴĥŠĉ ŎŨ žŹŴ ĿĔď ŌťĽĖ Ä™ĴļŭĊŤÄ“ ĹŤÄ”ĹˆĴĚŤŴ Ä”ŲÄ—Ĺ­ÄĽÄœ ĹŽĹĄĹŠĹť Ĺ˝Ä?żŤÄ“ ŌŨēžőŤÄ“

It is hard, but you can do it! Ä”ŲŝžĚÄœ ijİĹ?Äœ ĺĖ ȕĚėőŀ ŽŹ Quitting smoking in cancer patients will decrease the risk of having another type of cancer. ĹŤÄ”ĹˆĴ̍ĔĖ ŎşĖĔŠŊżŤ ŎşďİÄ?ŤÄ“ ĹŽĹ? Ĺ?Ç™ĹœÇžÄ“ Ĵďć Ĺ?žŭÄ– ĚĖĔŀǞē ÄšşŤÄ”ĹŠÄ?ĨÄ“ ŎŨ ĹŚĹĽĹ?Ĺť Ä°Ĺœ ĹŤÄ”ĹˆĴĚŤÄ“ ŎŨ

risk


Chemotherapy What is Chemotherapy? That uses powerful chemicals to kill fast-growing cells in the body most often used to treat tumors, since tumor cells grow and multiply much more quickly than most cells in the body.

What are the side effects of Chemotherapy? Nausea, Vomiting, Diarrhea, Hair loss, Loss of appetite, Fatigue, Fever, Mouth sores, Constipation, Easy bruising. Most side effects subside after treatment ends.

ŽĐĔżũżšŤē ģǙőŤē ȗŽĐĔżũżšŤē ģǙőŤē ŵűĔŨ

Results and Follow-up Patient on chemotherapy meet with their cancer doctor (oncologist) regularly during treatment to monitor the response of tumor cells to the therapy.

ĚőĖĔĝũŤē Ŵ ĦĐĔĝŭŤē ģǙőťŤ ŒŅĭŻ źIJŤē ņŻĴũŤē ŒũĝĥŻ łĝĭŨ Ężėň ŒŨ ŽĐĔżũżšŤē ģǙőŤē ęĴĝŘ ţǙĬ ŧĔōĝŬĔĖ ŧēijŴǜĔĖ ģǙőťŤ ŧijŵŤē ĚĖĔĥĝĸē ĚėŜēĴũŤ

ĚżĐĔżũżŠ įēŵŨ ĚŬŵšŨ ĚŻŴįĊĖ ģǙŐ ŵű ŵũŭŤē ĚőŻĴĸ ĔŻǙĭŤē ŦĝŝĜ ĚŻŵŜ ĔŻǙĬ ŦĝŝŤ ĔėŤĔŔ ŦũőĝĹŻ ȕŪĹĥŤē ŽŘ ƻ ŵũŭĜ ŧijŵŤē ĔŻǙĬ ūĉ ĔũĖ ŧijŵŤē ĔŻǙĭŤē ĘťŔĉ ŮŨ ŏĴĸĉ ŦšĽĖ ĴĠĔšĝĜŴ ŪĹĥŤē ŽŘ

ĚżėŬĔĥŤē ijĔĠǚē ŽűĔŨ ȗŽĐĔżũżšŤē ģǙőťŤ ȕĴőĽŤē ūēİŝŘ ȕţĔŲĸǞē ȕĆŽŝŤē ȕūĔżġŕŤē ěĔĨĴŝĜ ȕŹũĩŤē ȕĘőĝŤē ȕĚżŲĽŤē ūēİŝŘ ŪōőŨ ěĔŨİšŤē ĚŤŵŲĸ ȕşĔĹŨǞē ȕŪřŤē ģǙőŤē ĆĔŲĝŬē İőĖ ŽřĝĭĜ ĚżėŬĔĥŤē ijĔĠǚē


Radiotherapy What is Radiotherapy? Radiotherapy uses radiation (the same as used in x rays) in very large quantities to kill the rapidly growing tumor cells

ŽŐĔőļǞē ģǙőŤē ȗŽŐĔőļǞē ģǙőŤē ŵűĔŨ

ĺřŬ ŧİĭĝĹŻ ŽŐĔőļǞē ģǙőŤē Ěőļǜē ŽŘ ĚŨİĭĝĹũŤē Ěőļǜē ŦĝŝŤ ęĴżėŠ ěĔżũšĖ ŮšŤŴ ĚżŭżĹŤē ŵũŭŤē ĚőŻĴĸ ŧijŵŤē ĔŻǙĬ

Side effects Generalized tiredness, Skin dryness, Hair loss, Change of taste.

ĚżėŬĔĥŤē ŃēĴŐǜē ȕİĹĥŤē ŽŘ ĆĔżŐč ȕİťĥŤē ŽŘ ŗĔřĤ ȕĦŤĔőũŤē ūĔšũŤē ŽŘ ĴőĽŤē ūēİŝŘ śŴIJĝŤē ŽŘ ĴżŕĜ


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