Expert Panel On Thyroid Cancer In Nc
Welcome to the public comment page for the Expert Panel on Thyroid Cancer in North Carolina.
Source: Amy Meredith
According to the NC Department of Health and Human Services, in the last 20 years, the rate of new thyroid cancer diagnoses increased across NC, the United States, and globally. Between 2005-2016, the rate of thyroid cancer diagnoses in Iredell County, NC was significantly higher than the rate in NC overall, especially in the southeastern and southwestern regions of the county.
Centers Of Excellence List
The website has been moved to a new host, and we’re working on re-doing the Centers of Excellence list to a more detailed format. In the meantime, you can acceess a copy of the old page here.
This website is intended for educational purposes only. It is not intended, nor should it be interpreted, as medical advice or instructions of any kind. Readers are advised to consult their own medical doctor for all matters involving their health and medical care.
Thyroid Cancer Risk Factors
Although the exact cause of thyroid cancer is unknown, certain risk factors have been identified. They include:
Not everyone with risk factors gets thyroid cancer. However, if you have risk factors it is a good idea to discuss them with your doctor.
Some cases of thyroid cancer can be passed down from one generation to the next. Genetic counseling may be right for you. Learn more about the risk to you and your family on our genetic testing page.
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Expertise In Diagnosing And Staging Cancers
- An accurate diagnosis is the key to planning the right treatment. Our expert pathologists are highly sub-specialized in diagnosing thyroid conditions. Our program also has the most state-of-the-art diagnostic technologies available, including:
- Imaging technologies, such as radioactive iodine and pertechnetate nuclear scans, ultrasound, CT, PET/CT and MRI scans
- Fine-needle aspiration biopsy
- Ultrasound guided fine-needle aspiration and core needle biopsy
- Radioactive iodine administration including dosimetry
- Endocrine Oncology
The majority of thyroid nodules are benign however, many need to be evaluated in the event that they could be cancerous. For those that do turn out to be cancer, our program includes an expert team of oncologists, cytologists, pathologists, endocrine surgeons, thoracic surgeons, thyroidologists, radiation oncologist and nuclear medicine physicians, who accurately diagnose and treat these diseases. Some thyroid cancers are less aggressive than other forms of cancer whereas others are more aggressive. With appropriate treatment, the vast majority of patients with thyroid cancer achieve positive outcomes.
The major types of thyroid cancer are:
The Saint Johns Cancer Institute Centers Of Excellence Are Dedicated To The Understanding Diagnosis And Innovative Treatment Of Cancer
BREAST SURGERY AND ONCOLOGY
Our care team understands that each case is unique, while we treat every patient with dignity and compassion. We understand the challenges of coping with cancer and other life-changing decisions, and we are ready to guide you every step of the way. With an outcomes-based approach and our multi-disciplinary team, we work to develop the most optimal treatment plan for you based on your needs.
ENDOCRINE TUMORS AND DISORDERS
The Center for Endocrine Tumors and Disorders offers comprehensive, personalized care to patients with thyroid conditions including thyroid cancer and benign thyroid nodules, hyperparathyroidism, osteoporosis, adrenal tumors, PCOS, and transgender medicine.
GASTROINTESTINAL AND HEPATOBILIARY TUMORS
The gastrointestinal and hepatobiliary cancer team includes specialists in surgery, medical oncology, radiation therapy, and pathology. We diagnose and treat colon and rectal cancer, primary or metastatic liver cancers including hepatocellular carcinoma, cholangiocarcinoma, fibrolamellar-hepatocellular carcinoma, stomach, esophageal, pancreatic cancers and other cancers of the gastrointestinal tract.
HEAD & NECK ONCOLOGY
MELANOMA, SKIN AND SOFT TISSUE TUMORS
MINIMALLY INVASIVE CHEST SURGERY AND THORACIC SURGICAL ONCOLOGY
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Centers Of Excellence Give Our Patients:
Access to World-Class Specialists
Seeking treatment from an accredited program means patients will have access to world-class doctors, nurses and other professionals across many specialties all working together to bring the highest-quality, most comprehensive and specialized care possible. Each member of the multidisciplinary CoE care team including the primary physician and partnering advanced practice clinicians is specially trained and certified on the patients specific condition and work together to develop a focused and customized plan of care. ThedaCare also has a dedicated hematologic malignancy tumor board comprising a multidisciplinary team of hematologists, hematopathologists, palliative care and representatives from our clinical research team.
A Full Range of Services
Each CoE offers a full range of services tailored to meet patients needs, from wellness services and screenings to the most advanced care for the most severe cases.
An Exceptional Patient Experience
From the start of a patients healthcare journey through treatment and into recovery, the CoE team will be at their side every step of the way.
Convenience
CoEs have knowledgeable staff who can help to manage the logistics of treatmentsuch as coordinating with the multidisciplinary team to help schedule appointments, assist patients through the surgical and rehab process and answer questions along the way.
Coordinated Care
Focused Expertise
What You Need To Know About Thyroid Cancer
- Your thyroid is a gland in the neck that produces hormones, chemical messengers that control body functions. Thyroid hormones control your heart rate, digestion and bone strength.
- This type of cancer starts as a thyroid nodule, an abnormal, noncancerous growth. Find out more about thyroid nodules.
- Having a family history of certain thyroid cancers may raise your risk of a future thyroid cancer diagnosis. Learn more about rare and familial endocrine tumors.
- Younger patients with thyroid cancer receive additional support and specialized inpatient care through our adolescent and young adult cancer program.
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How To Talk To Your Doctor About Thyroid Cancer
Receiving a thyroid cancer diagnosis may come as a surprise. Our doctors take time to answer your questions so you feel confident about the next steps in your care.
Feel free to ask us about:
- Further testing, if necessary, to confirm a diagnosis or check treatment progress
- Cancer stage, which tells us how serious the cancer is and if it is likely to spread
- Treatment options, which often includes surgery followed by hormone therapy
- Potential treatment side effects and care options that help you get relief
Our personalized approach to care means you often have choices about your treatment plan. We explain options in ways that are easier to understand. You are welcome to bring loved ones with you to appointments for support.
Nationally Recognized Thyroid Cancer Care
At Stephenson Cancer Center, Oklahomas only National Cancer Institute -Designated Cancer Center, youll collaborate with a multidisciplinary team of cancer experts for a precise diagnosis, innovative treatment and effective management of thyroid cancer and other types of head and neck cancers. You benefit from the latest advanced imaging technology to support the accurate diagnosis that helps identify and treat your condition as early as possible.
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Cryoablation Or Alcohol Ablation
If your thyroid cancer returns and other treatments have proven unsuccessful, this outpatient procedure may be recommended to destroy abnormal tissue. An interventional radiologist with expertise in image-guided surgery uses ultrasound to help insert a needle into the tumor. Extreme cold or a concentrated alcohol is released to destroy the tumor growth. Your provider will discuss with you whether cryoablation or alcohol ablation is best based on the size and exact location of your thyroid cancer.
We offer many opportunities for you to participate in research, which may include clinical trials related to thyroid cancer.
Excellence In Surgical Care
Our endocrine surgery program is one of the oldest and most innovative in the country, and is recognized for having among the most specialized surgeons in treating thyroid and endocrine disorders. This high level of expertise has resulted in a high volume practice and research has shown that centers that perform a higher volume of surgical procedures have better outcomes.
Our surgeons use the most up-to-date technologies, including recurrent laryngeal nerve monitoring, and have pioneered and continue to advance minimally invasive techniques. Our goal is to be as conservative as possible with surgery without compromising care. Extreme attention is paid to the cosmetic appearance of the incision and to make the approach as minimally invasive as possible.
Among the surgical procedures that may be indicated for the treatment of thyroid conditions are:
- Thyroid lobectomy, which involves removal of one half of the thyroid
- Total thyroidectomy, which removes all of the thyroid
- Lymph node removal, for cancer that has spread outside the thyroid to the surrounding lymph nodes
Learn more about Endocrine Surgical Care.
Surgical Outcomes & Performance
The Center for Outcomes & Patient Safety in Surgery ensures that surgical data is transparent and accessible for patients. Watch the video to view Mass General’s performance for procedures to treat conditions of the adrenal, thyroid and parathyroid glands.
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Follicular Cell Thyroid Cancers
From well differentiated to undifferentiated, the types of thyroid cancer from follicular cells are:
Papillary thyroid cancer: This is typically the least aggressive type of thyroid cancer. It accounts for about 80% of thyroid cancer diagnoses. While papillary thyroid cancer usually occurs in only one lobe of the thyroid gland, it appears in both lobes in 10%-20% of cases. Papillary thyroid cancer is most common in women of childbearing age. Its treatment is successful in most patients.
Follicular thyroid cancer: This accounts for about 10% of thyroid cancers. Though it can be more aggressive than papillary thyroid cancer, follicular thyroid cancer usually grows slowly. Treatment for follicular thyroid cancer is similar to papillary thyroid cancer and is successful for most patients.
Both papillary and follicular thyroid cancer are considered well differentiated cancers. Well differentiated thyroid cancer tends to stay contained within the thyroid gland. When it does spread outside the thyroid, the most common locations of spread, or metastasis, are lymph nodes, lungs, bones and the liver.
Hürthle cell thyroid cancer: Also called oxyphilic cell carcinoma, Hürthle cell carcinoma was considered a type of follicular thyroid cancer until recently. Most patients diagnosed with Hürthle cell carcinoma do well, but the outlook may change based on the extent of disease at the time of diagnosis.
Personalized Care For Endocrine Tumors And Disorders
Endocrine Tumors and Disorders Center, located in Santa Monica, CA is a comprehensive, multidisciplinary clinic for patients with endocrine conditions. Watch our video to learn about the Endocrine Tumors and Disorders center approach to care for patients with diabetes, thyroid disease, thyroid cancer, adrenal masses, adrenal cancer and other endocrine conditions.
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Types Of Thyroid Cancer
- Papillary Thyroid Cancer. The most common thyroid cancer with the best outcomes.
- Follicular Thyroid Cancer. The second most common thyroid cancer with great outcomes.
- Hurthle Cell Thyroid Cancer. Less common, but a very good outcome of thyroid cancers if treated appropriately.
- Medullary Thyroid Cancer. A very rare type of thyroid cancer which also can be inherited in some individuals.
- Anaplastic Thyroid Cancer. A rare and very aggressive thyroid cancer.
Your Thyroid Cancer Care Team
From your first contact with Stephenson Cancer Center, you become a vital part of our multidisciplinary team approach that brings you together with a variety of cancer specialists, such as medical oncologists, cancer surgeons, pathologists, radiologists and others, to ensure you receive the best care for your particular condition.
Find out more about your options for cancer surgery, get a second opinionor make an appointment with one of our specialists.
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Thyroid Cancer: What You Need To Know
- Papillary thyroid cancer, the most common type of thyroid cancer, usually grows slowly but can spread to lymph nodes. These cancers can be readily cured with appropriate treatment and are rarely fatal.
- Follicular carcinoma is the second most common type of thyroid cancer, and the prognosis is usually good.
- Medullary thyroid cancer, an uncommon type of thyroid cancer, can have a genetic predisposition as part of familial medullary thyroid cancer or multiple endocrine neoplasia syndrome.
- Anaplastic thyroid carcinoma is a rare but extremely aggressive form of thyroid cancer.
- The prognosis for thyroid cancer is good with an overall remission rate of over 90 percent.
Richmond Hill Centre Of Excellence
- Building OwnerAtlas Global Healthcare
- ArchitectEndri Poletti
Description
The new Atlas Healthcare facility in Richmond Hill is a world-class turnkey facility providing unparalleled value and service to patients and partners. Altas Healthcare recognizes that people are seeking new, high quality, affordable and accessible treatment options and they are committed to delivering a multi-service facility that fulfills these demands.
HTS supplied the following equipment:
Aermec Chiller for MRI Imaging
Alumavent Motorized Dampers
Cook Wall Propeller Exhaust Fan
Daikin Air-Cooled Condensing Unit
Daikin Horizontal Concealed Water Source Heat Pumps
Daikin VRV System
Danfoss Series Variable Frequency Drive
DriSteem Gas-Fired Humidifier
Emcoair High Induction Linear Slot Diffusers
Haakon Custom Heat Recovery Units
HTS DX Piping
Krueger Air Foil Double Deflection Supply Grilles
Krueger Single Deflection Return Grilles
Krueger Square Plaque Diffusers
McQuay Model RCS Air Cooled Condensing Units
Sigma Unit Heaters
Sigma Force Flow Cabinet Heater
Sigma Wall Fin Element & Enclosure
Xylem Bell & Gossett Close-Coupled In-line Pumps
Xylem Bell & Gossett Split Coupled Vertical In-line
Xylem Bell & Gossett Suction Diffuser
Xylem Bell & Gossett Triple Duty Valves
Xylem Bell & Gossett Model GPX
Xylem Bell & Gossett Sewage/Effluent
Xylem ITT B Expansion Tank
Xylem ITT PTA Expansion Tanks
Xylem ITT WTA Expansions Tanks
Xylem Rolairtrol Air Separator
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Center For Endocrine Tumors And Disorders
The Center for Endocrine Tumors and Disorders offers comprehensive, personalized care to patients with endocrine conditions including thyroid cancer and nodules, hyperparathyroidism, osteoporosis and other bone disorders, adrenal tumors, PCOS, and transgender medicine.
Minimal Thyroid Surgery Scarring
Our head and neck surgeons are recognized for their expertise in minimizing scarring for those who require thyroid surgery. Patients often remark during their postoperative visit that the size of the incision is tiny, and that friends have complimented them on the scar appearance. During surgery, the incision is camouflaged in a natural skin fold and our team employs plastic surgery techniques to ensure the least visible scar possible. Dissolvable stitches are strategically hidden under the skin, and then covered with a skin-colored surgical tape. It is common to see swelling and a ridge form around the scar area temporarily, but within a few months, the great majority of our patients are extremely happy with their barely noticeable scar.
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Thyroid Surgery And Thyroid Cancer Surgery
Some Benign Thyroid Tumors and almost all Thyroid cancer are treated with surgery. The amount of the thyroid removed and the size of the operation depends on condition of the thyroid gland, extent and size of the thyroid or thyroid tumor, whether there is involvement of lymph nodes or other sites, and the disorder of the thyroid or thyroid cancer. It is critically important that the thyroid surgery must be the right surgery, for the right patient, as well as for the right tumor .
Thyroid Lobectomy. Removing half of the thyroid gland is appropriate for many thyroid cancers. See a video of thyroid lobectomy. A frequent surgery for benign tumors, follicular neoplasms, toxic thyroid nodules, and many thyroid cancers. The surgery is brief, usually lasting no more than twenty minutes and spares all parathyroid glands as well as all important nerves to the voice box . Even for larger tumors, the incision is small and cosmetically designed to be almost unnoticeable.
Extended Complicated Thyroidectomy. An uncommon surgical procedure that should only be performed by the most experienced thyroid surgeons. This type of surgery is only required in thyroid cancers that have grown into adjacent structures such as the nerves to the voice box , breathing tube , swallowing tube , or blood vessels.
Lymph Node Surgery. Operations for thyroid cancer can also include the removal of lymph nodes.
How Does It Work
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Why Choose Fox Chase
- Highest designation from the National Cancer Institute as a Comprehensive Cancer Center, an elite center recognized for excellence in cancer treatment, research, prevention and education
- Multidisciplinary team of physician leaders in the thyroid cancer field
- Full spectrum of care for thyroid cancerfrom detection through survivorship
- Significant experience with open, endoscopic, laparoscopic, and robotic surgery
- Access to clinical trials for emerging and innovative therapies for thyroid cancer
- Appointments with our thyroid cancer specialists
What Are The Different Types Of Thyroid Cancer
Thyroid cancer is categorized based on the type of thyroid cells where the cancer begins and how the cancer cells appear under a microscope.
There are two kinds of cells found in the thyroid.
Follicular cells are the most common. They produce thyroid hormone, which is important for growth, mental function and helping the body create energy. Most thyroid cancers develop from follicular cells.
Parafollicular cells, also known as C cells, produce a small amount of the hormone calcitonin, which helps control calcium metabolism. Most parafollicular cells are in the upper third of each lobe. Medullary thyroid cancer is the only thyroid cancer that develops from parafollicular cells.
Thyroid cancers can also be categorized based on the appearance of their cells. Cancer cells that look most like normal, healthy cells are called well differentiated. Patients with well differentiated thyroid cancers are most likely to be disease-free at the end of treatment. Poorly differentiated and undifferentiated cancer cells look less and less like healthy cells. These forms of thyroid cancer are usually harder to treat and the outlook for these patients is worse.
Doctors believe most thyroid cancers start as well differentiated. As the cancer grows, its cells can develop additional mutations, changing it into a less differentiated, harder-to-treat type of thyroid cancer.
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