Thyroid Cancer Should Not Be Over-Treated
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Thyroid cancer is the most common cancer in women and the eighth most common cancer in men. The vast majority of thyroid cancers are slow-growing and have an excellent prognosis. However, some thyroid cancers can be more aggressive and require more extensive treatment.
In recent years, there has been a trend towards over-treating thyroid cancer. This is due to a number of factors, including:
The development of new imaging techniques that can detect smaller and smaller tumors
The increased use of radioactive iodine therapy
The fear of lawsuits by patients who have been diagnosed with thyroid cancer
Over-treatment of thyroid cancer can lead to a number of serious complications, including:
Hypothyroidism (underactive thyroid)
Damage to the parathyroid glands
Esophageal damage
Voice problems
Infertility
In some cases, over-treatment can even be fatal.
It is important to remember that thyroid cancer is a slow-growing cancer and that the vast majority of patients have an excellent prognosis. Over-treatment is not necessary and can lead to serious complications.
When is thyroid cancer over-treated?
Thyroid cancer is over-treated when it is treated with more aggressive methods than are necessary to cure the cancer. This can include:
Surgery to remove the entire thyroid gland
Radioactive iodine therapy
External beam radiation therapy
Over-treatment can also occur when patients are treated for thyroid cancer that does not need to be treated. This can include:
Small, slow-growing tumors that are unlikely to cause any problems
Tumors that have been successfully treated with surgery or radioactive iodine therapy
What are the risks of over-treating thyroid cancer?
Over-treating thyroid cancer can lead to a number of serious risks, including:
Hypothyroidism: This is the most common complication of thyroid cancer treatment. It occurs when the thyroid gland is damaged or removed, and it can lead to a number of health problems, including fatigue, weight gain, and depression.
Damage to the parathyroid glands: The parathyroid glands are located near the thyroid gland, and they regulate calcium levels in the body. Damage to the parathyroid glands can lead to hypoparathyroidism, which can cause a number of health problems, including muscle cramps, numbness, and tingling.
Esophageal damage: The esophagus is located behind the thyroid gland, and it can be damaged during thyroid cancer surgery. Esophageal damage can lead to difficulty swallowing, pain, and bleeding.
Voice problems: The vocal cords are located near the thyroid gland, and they can be damaged during thyroid cancer surgery. Vocal cord damage can lead to hoarseness, loss of voice, and difficulty speaking.
Infertility: Thyroid cancer treatment can damage the ovaries or testicles, which can lead to infertility.
In some cases, over-treatment can even be fatal.
How can I avoid over-treatment?
There are a number of things you can do to avoid over-treatment for thyroid cancer. These include:
Getting a second opinion: If you have been diagnosed with thyroid cancer, it is important to get a second opinion from another doctor. This will help you to ensure that you are getting the best possible care.
Asking your doctor about the risks and benefits of treatment: Before you agree to any treatment, it is important to ask your doctor about the risks and benefits of the treatment. This will help you to make an informed decision about your care.
Choosing a doctor who specializes in thyroid cancer: If you have been diagnosed with thyroid cancer, it is important to choose a doctor who specializes in treating this type of cancer. This will help you to ensure that you are getting the best possible care.
Conclusion
Over-treating thyroid cancer is a serious problem. It can lead to a number of health problems, and it can even be fatal. There are a number of things you can do to avoid over-treatment, including getting a second opinion, asking your doctor about the risks and benefits of treatment, and choosing a doctor who specializes in thyroid cancer.
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