How is thyroid cancer diagnosed?

Written by Gong Chun
Oncology
Updated on September 14, 2024
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The first point is the diagnostic process for differentiated thyroid cancer. Initially, most patients may not have symptoms, while a minority might show symptoms due to invasion of surrounding organs. Ultrasound examination is the preferred method for diagnosing thyroid nodules. Ultrasound can clarify the number, nature, and location of thyroid nodules, as well as provide information on whether there are abnormally enlarged lymph nodes in the neck. It has a relatively high accuracy in identifying the nature of thyroid nodules. Currently, the most accurate test for determining the nature of thyroid nodules remains the fine needle aspiration cytology, which has a diagnostic sensitivity of 83-92% and specificity of 80-92%, but it is not 100% conclusive. The second point is about the diagnosis of medullary thyroid cancer. Besides the tests common for thyroid cancers, additional tests for medullary thyroid cancer can include fine needle aspiration, ultrasound, and some serological tests, such as calcitonin and carcinoembryonic antigen tests.

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Written by Yan Chun
Oncology
1min 25sec home-news-image

What discomforts can thyroid cancer cause in the body?

Thyroid cancer is a common type of malignant tumor in the head and neck region. In its early stages, thyroid cancer has little effect on the body, and generally does not cause any discomfort. However, as the disease progresses and the tumor invades outward and metastasizes to distant areas, it can lead to various uncomfortable sensations. For example, if thyroid cancer invades surrounding tissues and organs, such as the recurrent laryngeal nerve, the patient may experience symptoms like a hoarse voice and choking while drinking. If thyroid cancer metastasizes to the cervical lymph nodes, the patient may also develop Horner's syndrome, which is characterized by a constricted pupil, drooping eyelid, and absence of sweating on the affected side of the face. If the patient develops superior vena cava syndrome, it can lead to difficulty breathing, chest pain, and swelling of the face and neck. If thyroid cancer metastasizes to the lungs or other distant areas, the patient may also experience chest pain, difficulty breathing, and coughing.

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Written by Yan Chun
Oncology
1min 4sec home-news-image

What are the early symptoms of thyroid cancer?

Thyroid cancer is a common malignant tumor in the head and neck area. The early symptoms of thyroid cancer are highly atypical, and many patients do not present clear early symptoms. Often, patients discover painless nodules in the thyroid incidentally during physical examinations; these nodules can move up and down with swallowing motions. In a minority of cases, when the nodules of early-stage thyroid cancer are large, they can cause hoarseness or coughing and choking when drinking water. Some patients might experience intermittent, hidden pain in the thyroid area during the early stages, which often resolves on its own without treatment. Besides these, in its early stages, thyroid cancer may not present other obvious symptoms. As the condition progresses, significant clinical symptoms appear only when the tumor invades surrounding structures or metastasizes to distant sites.

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Written by Gong Chun
Oncology
1min 16sec home-news-image

How is thyroid cancer diagnosed?

The first point is the diagnostic process for differentiated thyroid cancer. Initially, most patients may not have symptoms, while a minority might show symptoms due to invasion of surrounding organs. Ultrasound examination is the preferred method for diagnosing thyroid nodules. Ultrasound can clarify the number, nature, and location of thyroid nodules, as well as provide information on whether there are abnormally enlarged lymph nodes in the neck. It has a relatively high accuracy in identifying the nature of thyroid nodules. Currently, the most accurate test for determining the nature of thyroid nodules remains the fine needle aspiration cytology, which has a diagnostic sensitivity of 83-92% and specificity of 80-92%, but it is not 100% conclusive. The second point is about the diagnosis of medullary thyroid cancer. Besides the tests common for thyroid cancers, additional tests for medullary thyroid cancer can include fine needle aspiration, ultrasound, and some serological tests, such as calcitonin and carcinoembryonic antigen tests.

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Written by Gong Chun
Oncology
42sec home-news-image

What department should thyroid cancer see?

Firstly, thyroid cancer is the most common malignant tumor in the neck area. Therefore, it is recommended to consult with the most professional oncology department for diagnosis and treatment when the disease occurs. If thyroid cancer is operable, surgery can be performed by the head and neck surgery department. After surgical treatment, if radiotherapy and chemotherapy are needed, it is still recommended to see an oncologist for treatment and specific therapies. Thus, different departments may be consulted during different stages of the disease, but the primary recommendation is still to seek treatment from the oncology department.

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Written by Cui Fang Bo
Oncology
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Is thyroid cancer without lymph node metastasis considered early stage?

Thyroid cancer, if it has not metastasized to lymph nodes, generally falls under early-stage. Once thyroid cancer is diagnosed, surgical removal is the primary treatment choice. Postoperative treatments vary depending on the different pathological types of thyroid cancer. For the most common type, papillary carcinoma, if the surgery is radically curative, further treatment may not be necessary, and merely supplementing thyroid hormones suffices. In cases such as follicular carcinoma, undifferentiated carcinoma, or medullary carcinoma, even after surgically radical removal, postoperative treatment often requires further radiotherapy or treatment with Iodine-131, depending on the surgical pathology results. (The use of medications should be carried out under the guidance of a professional doctor.)