Thyroid Cancer: Treatment Choices
Learning about your treatment options
If you have thyroid cancer, you probably have many questions and concerns about your treatment options. It's normal to want to learn all you can.
Your healthcare provider will base your treatment plan on the type of thyroid cancer you have. Most thyroid cancers are slow to grow and spread (metastasize). But some thyroid cancer types can be very aggressive. Your provider will treat these differently. Your provider will also consider many things when helping you make treatment decisions. These include your age, overall health, the size and location of your tumor, and other factors.
You may also want to know how you’ll feel and function after treatment. You may want to know if you’ll have to change your normal activities.
Your healthcare provider is the best person to answer your questions. He or she can tell you what your treatment choices are. Your provider can tell you how successful these treatments are likely to be, and what the risks and side effects are. Your healthcare provider may advise a specific treatment. Or he or she may offer more than one, and ask you to decide. It can be hard to make this decision. It is important to take the time you need to make the best decision.
Deciding on the best plan may take some time. Talk with your healthcare provider about how much time you can take to explore your options. You may want to get another opinion before deciding on your treatment plan. In fact, some insurance companies may require a second opinion. In addition, you may want to involve your family and friends in this process.
Goals of treatment for thyroid cancer
Treatment can be used to cure or control the cancer. It can also improve your quality of life by helping to control the symptoms of the disease. The goal of treatment may be to:
Remove the thyroid cancer tumor
Kill or stop the growth or spread of thyroid cancer cells
Prevent or delay the cancer from coming back
If your thyroid cancer has spread to other parts of your body, you may only have palliative treatments. These are treatments to help control your symptoms. But they don’t kill the cancer. Palliative treatments may include pain medicine. They may also include ways to help you manage if you have trouble breathing or swallowing.
Types of treatment for thyroid cancer
Treatments for thyroid cancer may be local or systemic, or both.
Local treatments. These remove, destroy, or control cancer cells in one area. For thyroid cancer, the most common local treatment is surgery.
Systemic treatments. These destroy or control cancer cells in your entire body. For thyroid cancer, radioactive iodine therapy and chemotherapy are the main types of systemic treatments.
These are the main treatments for thyroid cancer:
Surgery. Surgery is the most common treatment option for thyroid cancer. Surgery is done to remove the tumor as well as some of the nearby healthy tissue. There are a few surgery options depending on the size of the nodule.
Radioactive iodine. This treatment kills any thyroid cells that were not taken out in surgery. It also finds and destroys thyroid cells that were not surgically removed or that have spread beyond the thyroid. This treatment is an option for most people with papillary and follicular thyroid cancer.
Thyroid hormone treatment. This type of treatment is needed when you have surgery for papillary, follicular, and medullary thyroid cancer. Thyroid hormone medicine is given to replace hormones. The medicine also slows down the growth of other cancer cells that are left.
External radiation therapy. This treatment destroys cancer cells using high-energy X-rays from a machine. For thyroid cancer, it is used only in certain cases, such as when later stage cancer doesn’t respond to radioactive iodine treatment.
Chemotherapy. This treatment uses medicines to stop cancer cells from growing. It may kill the cells or stop them from dividing.
You may have just 1 treatment or a combination of treatments. Most people with thyroid cancer have surgery, followed by radioactive iodine therapy.
Clinical trials for new treatments
Health experts are always looking for and finding new ways to treat cancer. It may be helpful to be referred to a cancer treatment center. There, thyroid cancer experts may be doing research studies, called clinical trials, on promising new treatments. Talk with your provider to find out if there are any clinical trials you may want to take part in.
Talking with your healthcare provider
Your healthcare provider is the best person to answer your questions about treatments. Here are some questions you might ask your provider before beginning treatments.
Which treatments are best for me?
What's the goal of each treatment?
How successful will treatment be?
What are the risks and side effects of each treatment?
How long will it take to recover from treatment?
What are the chances that the cancer will come back after treatment?
March 21, 2017
Bible, KC., Position Statement from the International THyroid Oncology Group, the Journal of Clinical Endocrinology and Metabolism (2015); 100/12, 12, pp. 4387-4395
Hurd, Robert, MD,Stump-Sutliff, Kim, RN, MSN, AOCNS