Thyroid Cancer, Anaplastic Thyroid Cancer, Md Anderson Cancer Center discussed on WMAL Talk
Thirty w I s. Welcome back. This is Dr Ranna Higgins from the Medical College of Wisconsin. And we are continuing our program on tyrod disease and thyroid surgery in the second segment of this program. I want to welcome back our program chair, Dr Tracy wing along with a DT Kumar, they will be joined by doctors, Beth Bethlen and Douglas Evans, Dr LaLonde is a graduate of the university of California, San Diego and received her medical degree from MC w she completed her residency in internal medicine at MC w followed by her fellowship in endocrinology. She joined the MC w faculty in two thousand five Dr Evans, who you all know, very well as one of the co moderators of this radio program is the chair of our department of surgery at MC w he is a well known surgical oncologist and came to MC w in two thousand nine from MD Anderson Cancer Center in Houston, Texas, so to start the program off in the last segment, we talked about thyroid nodules, and how cancer can be. One of the diagnoses. So Dr Wang, if you could just talk to us a little bit about what are the different types of thyroid cancer that can be diagnosed from the biopsy. Sure, I'd be happy to and thank you for having us all on the segment today. So the vast majority of thyroid cancers are going to be what we call differentiated thyroid cancer. So they come from a certain type of cell within the firearm. And these thyroid cancers really have an excellent prognosis typically, they are either Pap Larry thyroid cancer or thyroid cancer, poplar thyroid cancer of being by far the most common type and probably upwards know, seventy five at least eighty five percent of the patients who have cancer. We'll have Pap Larry thyroid cancer. And it's really important to know that for these patients. The the long term outcomes we talk about ten year survival is really excellent. So well over ninety five percent because these cancers are generally slow growing and the end patients do really well after their treatment, which is usually surgery, and as we talk about potentially radioactive iodine. Less frequent types of thyroid cancer are a type of cancer called Larry thyroid cancer, which is a narrow endocrine cancer comes from a slightly different cell within the fibroid. These are probably about five percent of thyroid cancers and can be more likely to be inherited. So patients who have that diagnosis do need to talk to their family and make sure that nobody else in the family has had that. And then fortunately, much less frequently something that we call poorly differentiated or anaplastic thyroid cancer, it's rare, but it's very aggressive and to date there's very poor treatment options for patients, and so unfortunately, the survival from this can be very short are there. Certain age groups that are typically more affected by each different type of cancer. We typically think of thyroid cancer is being diagnosed either in patients who are in their teens or twenties and then later in life so middle aged fifties and sixties, and it is more common in women than men, although men with our nostrils should be as. We talked about in the first segment have the ultrasound and not Epinay if they need it because the nachos might be at a higher risk of being cancer. So once the diagnosis is perf- perform the biopsies performed in the diagnosis made how do you determine whether or not somebody does need surgery, Dr Evans, and then if so do you remove all of the thyroid gland? Do you remove part of it? And then how do you make that decision? Well, thanks rented, this that's a fascinating topic. And I'm.