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  • Thyroid Cancer

    Thyroid cancer is indeed a type of cancer that originates in the cells of the thyroid gland. The thyroid gland is a small, butterfly-shaped gland located in the front of the neck, just below the Adam's apple (also known as the laryngeal prominence). The thyroid gland plays a vital role in producing hormones that help regulate various bodily functions, including metabolism, energy production, and growth.

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     Endocrinologist, discusses thyroid cancer recovery and prognosis.

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  • Thyroid Cancer Recovery and Prognosis

    The thyroid gland is located at the base of the neck and can be felt by placing a finger just above the notch, known as the Adam's apple. The thyroid gland is indeed shaped like a butterfly or a bowtie, with two lobes connected by a narrower isthmus in the middle. It plays a vital role in the body by producing hormones that regulate metabolism and help in the normal functioning of various organs.

                         

    The two main hormones produced by the thyroid gland are thyroxine (T4) and triiodothyronine (T3). These hormones are responsible for controlling the rate at which cells convert food into energy (metabolism) and also influence the growth and development of tissues in the body.

    The thyroid gland is regulated by the pituitary gland, a small gland located at the base of the brain. The pituitary gland produces thyroid-stimulating hormone (TSH), which stimulates the thyroid gland to produce and release thyroid hormones. The levels of TSH and thyroid hormones are carefully balanced through a negative feedback loop to maintain proper functioning of the thyroid gland.

    Problems with the thyroid gland can lead to various disorders, such as hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid). These conditions can cause a range of symptoms and may require medical treatment. Regular check-ups and evaluation by a healthcare professional are important for maintaining thyroid health.  However, I would like to clarify that the thyroid gland is not typically within the purview of a urologist. Urologists are medical specialists who primarily focus on the urinary system (kidneys, bladder, ureters, and urethra) in both males and females, as well as the male reproductive system.Remember to verify the information provided by contacting the healthcare providers directly, as network participation and availability can vary over time. Find local massage therapists and  physiotherapy  treatment options along with strength and exercise options to help with strength and conditioning and massage therapy with tight and sore and you are  experiencing fatigue

    The thyroid gland, on the other hand, is an endocrine gland located in the neck and is responsible for producing hormones that regulate metabolism and various bodily functions. If you suspect any issues with your thyroid, it would be more appropriate to consult with an endocrinologist, a medical specialist who specializes in diagnosing and treating disorders related to the endocrine system, including the thyroid gland.

    Endocrinologists are trained to evaluate and manage conditions such as hyperthyroidism (overactive thyroid), hypothyroidism (underactive thyroid), thyroid nodules, and thyroid cancer. They can perform appropriate tests, such as blood tests and imaging studies, to assess thyroid function and provide necessary treatment or further referrals if needed.

    It's important to seek medical attention if you have concerns about your thyroid health or notice any symptoms such as changes in energy levels, unexplained weight loss or gain, mood swings, palpitations, or changes in the appearance or size of the neck. A healthcare professional, such as an endocrinologist, will be able to guide you further and provide the appropriate care based on your specific situation.

    Now it’s always frightening when your local family physician  detects a lump in their neck, and that’s usually the presentation of thyroid cancer. And if someone’s shaving or looks in the mirror, sees the lump and feels it, and first thought is, is it cancer? There’s a little trick that we use to try and tell whether a lump in someone’s neck is the thyroid or another structure in the neck. And the trick is to swallow when your finger’s on it.

    The thyroid gland is indeed located in the front of the neck, just below the Adam's apple (or thyroid cartilage), not at the back of the neck. It wraps around the front part of the trachea (windpipe) and consists of two lobes connected by a narrow band of tissue called the isthmus.

    When you swallow, the thyroid gland moves slightly due to the movement of the underlying structures, including the trachea and esophagus. However, it's important to note that the movement of the thyroid gland during swallowing is typically not visible or palpable under normal circumstances.

    Thyroid nodules are relatively common, as you mentioned. These are abnormal growths or lumps within the thyroid gland. While many nodules are benign (non-cancerous) and don't cause any symptoms, some can be cancerous or may require medical attention for other reasons. Ultrasound is a common imaging technique used to evaluate thyroid nodules, providing information about their size, composition, and other characteristics.

    If someone notices a lump in their neck that moves up and down with swallowing, it could indeed be related to the thyroid gland, such as a thyroid nodule. However, it's essential to consult a healthcare professional for an accurate diagnosis. They can perform a thorough examination, order appropriate tests, and provide proper guidance based on the individual's specific situation.

    Around half of the population will likely have a nodule in their neck by the age of 50, but only about 5% would be detectable by a simple manual examination using fingers. Although thyroid nodules are quite common, the good news is that the majority of them are non-cancerous, with cancerous cases being in the minority. Depending on the particular circumstances of the patient, whether there’s a family history or other risk factors, it’ll be around 5, 10, 15 percent chance that a nodule is actually cancerous.  Often seeing a local family physician or a physiotherapist in conjunction with a registered dietitian and athletic therapist is a great option to take control of this condition. 

    If you have questions about thyroid cancer, or you think you have thyroid cancer, discuss this concern with your primary medical doctor.

  • Pregnancy and thyroid cancer

    It's true that managing thyroid cancer during pregnancy requires careful consideration and coordination between the medical team and the patient. The slow growth rate of most types of thyroid cancer allows for some flexibility in timing treatment.

    If a pregnant woman is diagnosed with thyroid cancer, the first approach is often to delay surgery and treatment until after the pregnancy. This is because surgery and other treatments may pose potential risks to the developing fetus. However, if waiting is not an ideal option due to the nature or stage of the cancer, surgery during the second trimester of pregnancy may be considered. The second trimester is generally considered a safer time for surgical procedures.

    After the pregnancy and ideally after breastfeeding, the necessary treatment for thyroid cancer can be completed. If the thyroid gland has been removed, hormone replacement therapy (typically with synthetic thyroid hormones) is required to maintain normal thyroid hormone levels in the body. During pregnancy, hormonal changes can affect the dosage requirements, so frequent blood tests and adjustments to the hormone replacement therapy may be necessary to ensure stable thyroid hormone levels. It's important to work closely with a healthcare professional experienced in managing thyroid disease during pregnancy to ensure the appropriate dosages and monitoring.

    After delivery, the patient can usually return to their pre-pregnancy hormone replacement therapy dose, but regular monitoring and adjustments may still be needed. It's essential to prioritize discussions and consultations with your primary care practitioner or endocrinologist regarding the management of thyroid disease and its treatment during pregnancy. They can provide personalized guidance and address any specific concerns or questions you may have.

    Thyroid cancer occurs when the cells of the thyroid gland begin to grow uncontrollably and form tumors. There are several types of thyroid cancer, each with distinct characteristics and behaviors. These types include:

    1. Papillary Thyroid Cancer: This is the most common type of thyroid cancer, accounting for about 80% of cases. It tends to grow slowly and often has a good prognosis. It typically starts in the follicular cells, which produce thyroid hormones.

    2. Follicular Thyroid Cancer: This type also originates in the follicular cells and accounts for a smaller percentage of cases. It tends to spread to other parts of the body more frequently than papillary thyroid cancer.

    3. Medullary Thyroid Cancer: Medullary thyroid cancer originates in the C cells of the thyroid gland, which produce the hormone calcitonin. This type can be associated with genetic conditions and tends to be more aggressive.

    4. Anaplastic Thyroid Cancer: Anaplastic thyroid cancer is rare but highly aggressive. It often grows quickly and is difficult to treat.

    5. Thyroid Lymphoma: This is a rare type of thyroid cancer that originates in the immune system cells within the thyroid gland.

    Thyroid cancer can sometimes cause symptoms such as a lump or swelling in the neck, difficulty swallowing, changes in voice, and pain in the neck area. However, in some cases, thyroid cancer may be asymptomatic and is discovered through routine medical examinations or imaging tests.

    Treatment for thyroid cancer may involve surgery to remove the thyroid gland (thyroidectomy), radioactive iodine therapy, external beam radiation therapy, and in some cases, targeted drug therapies. The specific treatment approach depends on the type and stage of thyroid cancer.

    If you suspect you might have thyroid issues or have concerns about thyroid health, it's important to consult a medical professional for proper evaluation, diagnosis, and treatment recommendations.

    The Family Physicians on Family Practice NOW are in good standing with the College of Physicians and Surgeons of Canada,and the Canadian Medical Association

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