Treatment of thyroid cancer
Tactics of treatment determine the histological type of tumor, its aggressiveness and prevalence, age, etc. It is determined in each case individually.
Methods for the treatment of thyroid cancer include: operation, treatment with radioactive iodine, hormonal therapy, external irradiation and chemotherapy. It is better to apply two or more methods, which allows you to cure most of the patients with thyroid cancer. If the cure for some reason is impossible, then it is necessary to remove or destroy as much tumor tissue as possible and prevent growth, distribution or cancer recurrence for a long period of time. Sometimes there are only symptomatic treatment to reduce the severity of symptoms, for example, pain, respiratory problems or swallowing.
Surgical treatment of thyroid cancer
Radical treatment of thyroid cancer — Surgical — Complete or incomplete removal of the thyroid gland (thyroidectomy) with the groomed lymph nodes and the fiber of the neck with one or both sides. In childhood, in order to avoid further endocrine disorders, there is a small part of the disabouted part of the thyroid gland (subtotal thyroidity).
In cases where the diagnosis of cancer before the operation was not supplied and economical intervention was produced, resorted to a re-operation in a radical volume with irradiation in a pre-or postoperative period.
According to the testimony use the combined method. At the first stage of treatment, remote gamma therapy is carried out on the primary tumor and regional metastasis zones on the neck, and on the second — Radical surgical intervention.
In the case of hypothyroidism after removal of the gland operation — The lifelong reception of drugs of thyroid hormones is shown.
Many types of thyroid cancer require drug suppression in the body of the thyrotropic hormone.
A peculiar feature of the thyroid cancer patients is the possibility of active treatment of remote metastases. In relation to tumors of other localization, usually the development of remote, especially multiple, metastases of malignant tumors eliminates any paths of radical impact. During the metastases of the thyroid cancer, very favorable results are obtained in the treatment with radioactive iodine. Under the influence of this drug at remote thyroid gland, many patients completely disappear metastases in the lungs and the growth of them in the bones is significantly braked. The use of radioactive iodine made it possible to significantly improve the results of the treatment of thyroid cancer.
With very common thymoid cancer forms with a palliative purpose, radiation therapy or chemotherapy is used. At the same time, it is often indicated to the tracheostomy (opening the trachea and the introduction into its lumen of a special tube to restore breathing), since the leading and most formidable symptom of the launched stages is the trachea compression, often leading to severe suffocation up to acute asphyxia. Then this operation is carried out in an emergency order, and technically it seems extremely difficult, because access to the trachea is closed by an array of tumor.
Thyroid cancer metastasis
Usually tumor does not metastasis. Only a group of tumors of the thyroid gland, to which the high-aligned form of its shapes (fine-cell and anaplazated forms of cancer, thyroid sarcoma of various buildings) are pretty early give metastases in light, bones, liver, kidney, pleura, brain and other organs. Moderate malignancy tumors can be limited to metastases in lymph nodes on the neck.
Thyroid Cancer Forecast
In general, the forecast depends on both the process stage at which treatment has begun and from the histological form of the tumor. Death from thyroid cancer is rare. Only with anaplased crayfish and sarcoma thyroid prediction adverse. In tumors of moderate malignancy, persistent cure is achieved in 70-80% of patients.
Thyroid Cancer Prevention
Iodine deficiency (recommended use of iodized salt, sea cabbage), avoid frequent radiographic irradiation of the head and neck area.
The basis of prevention — Timely treatment of thyroid diseases, timely and systematic passage of preventive inspections, especially if you feel about the risk troupe (suffer from other diseases of the thyroid gland, the frequent irradiation of the heads and neck regions about other diseases, live in areas with increased risk).
After the detection of the thyroid cancer is discussed by the treatment program. At the same time, both the type of tumor and the stage and the general condition of the patient.