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THYROID CANCER SILENT BUT CURABLE · Your Daily Dose

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  Speaker 1: Good morning everybody and welcome to Saturday. It's October 17th.
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  Speaker 2: We're on the downhill side of October. Temperature is changing
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  Speaker 2: all over the country. And we're looking forward to being
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  Speaker 2: in Pittsburgh for the PTE, our professional training event, coming
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  Speaker 2: up next week. Talk to you a little bit today
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  Speaker 2: about thyroid cancer. Now I know, don't turn it off.
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  Speaker 2: I know cancer, but let me put this into the
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  Speaker 2: category of silent but treatable. I'm going to give you
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  Speaker 2: 11 warning signs to watch out for.
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  Speaker 1: A good keeper. So stay tuned. Hi, and welcome to
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  Speaker 1: Health Talk with Dr.
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  Speaker 3: Len, your daily dose. The information you hear on this
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  Speaker 3: show is informational. It's not meant to diagnose or treat
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  Speaker 3: any disease. Any kind of complete health conditions must be
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  Speaker 3: checked out and discussed with your primary care physician. Get
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  Speaker 3: ready for the good news of the day. God bless
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  Speaker 3: you folks. And here is Dr. Len.
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  Speaker 2: Our daily devotional today comes from the book of Luke
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  Speaker 2: chapter 12. anxiety is a result of envisioning the future
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  Speaker 2: without me. So the best defense against worry is staying
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  Speaker 2: in communication with me. When you turn your thoughts toward me,
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  Speaker 2: you can think much more positively. Remember to listen as
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  Speaker 2: well as to speak, making your thoughts a dialogue with me.
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  Speaker 2: If you must consider upcoming events, follow these rules. One,
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  Speaker 2: do not linger in the future because anxiety sprout up
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  Speaker 2: like mushrooms.
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  Speaker 1: When you wander there.
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  Speaker 2: Two, Remember the promise of my continual presence, including me
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  Speaker 2: in any imagery that comes to mind. This mental discipline
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  Speaker 2: does not come easily because you're accustomed to being a.
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  Speaker 1: God of your fantasies.
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  Speaker 2: However, the reality of my presence with you now and
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  Speaker 2: forevermore outshines any fantasy you.
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  Speaker 1: Could ever imagine.
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  Speaker 4: Stay tuned. Thank you. 727-916-4215 to reach me off air.
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  Speaker 4: The thyroid is a small butterfly shaped gland in your
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  Speaker 4: neck that plays an outsized role in regulating.
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  Speaker 2: Metabolism, energy growth, and many of the body's essential functions.
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  Speaker 2: Trouble ensues when its cells turn cancerous. Thyroid cancer often
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  Speaker 2: develops without obvious symptoms in its earliest stages. It's a
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  Speaker 2: diverse group of cancers with very difficult behaviors, treatments, and outcomes.
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  Speaker 1: Early tumors are often small, very small.
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  Speaker 2: Thus, early stage thyroid cancer often causes no noticeable signs
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  Speaker 2: at all. As the thyroid enlarges, a condition called goiter,
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  Speaker 2: or develops nodules, particularly in older adults, symptoms appear. However,
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  Speaker 2: thyroid nodules and an enlarged thyroid are common, and usually
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  Speaker 2: not cancerous, with approximately 95-96% being benign. When thyroid cancer
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  Speaker 2: does cause symptoms, they include 1. A lump or nodule
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  Speaker 2: in the front of the neck that may grow quickly. 2.
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  Speaker 1: One or more enlarged lumps in the side of your neck. Three,
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  Speaker 1: swelling or enlargement of the neck.
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  Speaker 2: Four, persistent pain in the front of the neck, sometimes
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  Speaker 2: extending toward the ears. Next, ongoing hoarseness or other voice changes. Next,
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  Speaker 2: difficulty swallowing and breathing. Loss of appetite, unintentional weight loss,
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  Speaker 2: a persistent cough, coughing up blood, severe diarrhea, and flushing
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  Speaker 2: due to high levels of calcitonin. The thyroid sits right
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  Speaker 2: below the larynx, the voice box, in front of the trachea,
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  Speaker 2: the windpipe.
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  Speaker 1: It absorbs iodine from.
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  Speaker 2: Food and uses it to produce two thyroid hormones, T4
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  Speaker 2: and T3, that help control the body's use of energy.
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  Speaker 2: These hormones influence metabolism, heart rate, body temperature, digestion, and
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  Speaker 2: muscle function. The thyroid contains two main types of cells,
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  Speaker 2: follicular cells, which use iodine to make thyroid hormone, and
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  Speaker 2: parafollicular cells that produce calcitonin, the hormone that helps regulate calcium. So,
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  Speaker 2: all kinds of different items in here about the different types,
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  Speaker 2: from medullary to anaplastic to follicular, all the different types
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  Speaker 2: of thyroid cancer. Some of the risk factors, radiation exposure,
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  Speaker 2: high or low iodine intake, obesity, inherited genetic conditions. So again,
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  Speaker 2: let's take a look at how is thyroid cancer diagnosed.
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  Speaker 2: There's no standard routine screening for thyroid cancer. Cancers without
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  Speaker 2: symptoms are often found incidentally during a physical neck exam,
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  Speaker 2: surgery for another condition such as neck injury, or an
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  Speaker 2: ultrasound done for another reason such as carotid artery disease.
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  Speaker 1: So, how do we find out about it?
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  Speaker 2: CT scan uses x-rays to create detailed images. MRI, a
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  Speaker 2: PET scan, chest x-rays. A biopsy confirms where the thyroid
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  Speaker 2: cancer is present by examining tissue for suspicious areas.
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  Speaker 1: Blood tests. Calcitonin. CEA number. People with medullary thyroid cancer
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  Speaker 1: may have elevated CEA levels. A tumor marker. And hormones.
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  Speaker 2: Thyroid stimulating hormone T3 and T4 tests measure how actively
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  Speaker 2: the thyroid is functioning.
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  Speaker 1: A vocal cord exam. Okay, so what are the treatments?
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  Speaker 2: Active surveillance, surgery, thyroidectomy, lobectomy, complete thyroidectomy, neck descension, radiation therapy,
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  Speaker 2: hormonal therapy after removal. So, if we move on, what
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  Speaker 2: are some of the natural lifestyle approaches to thyroid cancer?
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  Speaker 1: Short-term, low iodine diet.
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  Speaker 2: Patients with papillary or follicular thyroid cancer should be prescribed
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  Speaker 2: a temporary low iodine diet.
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  Speaker 1: Two, cancer recurrent prevention.
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  Speaker 2: The likelihood of recurrence varies widely according to the thyroid
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  Speaker 2: cancer subtype stage and pathology. Three, a mindfulness-based program. Four,
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  Speaker 2: a combination exercise program. So how can I prevent thyroid cancer?
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  Speaker 2: Most people who develop thyroid cancer have no known risk
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  Speaker 2: factors such as radiation exposure or obesity, which makes them
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  Speaker 2: difficult to prevent.
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  Speaker 1: Complications? Obviously.
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  Speaker 2: But it's one of the most curable. So again, if
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  Speaker 2: you're having issues, by all means, give a call. Let's
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  Speaker 2: see if we can help you.
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  Speaker 4: 727-916-4215.
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  Speaker 1: Stay tuned.