Thyroid Cancer Treatment
Thyroid Cancer

What is Thyroid Cancer?
Thyroid cancer occurs in the thyroid gland — a butterfly-shaped gland located at the front of the neck. This gland plays a critical role in regulating metabolism, heart rate, and body temperature by producing thyroid hormones. While most thyroid nodules are non-cancerous, some may develop into thyroid cancer.
Risk Factors for Thyroid Cancer
Several factors may increase your risk of developing thyroid cancer:
Age and Gender
More common in women; risk increases after age 50.
Genetic Conditions
Certain inherited syndromes, such as MEN 2, familial adenomatous polyposis, and Cowden syndrome.
Family History
Having first-degree relatives (parents, siblings, or children) with thyroid cancer.
Radiation Exposure
Exposure during childhood for conditions like lymphoma or neuroblastoma increases risk.
Low Iodine Intake
Linked to a higher chance of developing papillary and follicular thyroid cancers.

Symptoms of Thyroid Cancer
Thyroid cancer often develops silently, but some of the common signs and symptoms include:

Lump in the Neck

Throat Discomfort

Difficulty Swallowing

Hoarseness or Voice Changes

Breathlessness
Incidental Finding: Some thyroid cancers are detected accidentally during scans for unrelated health issues.

Types of Thyroid Cancer
Thyroid cancers are classified based on the type of cells involved and their behaviour:
- Differentiated Thyroid Cancer
The most common type, includes:
- Papillary carcinoma (most frequent)
- Follicular carcinoma
- Hürthle cell carcinoma
- Medullary Thyroid Carcinoma
Develops from C-cells in the thyroid and may be hereditary. Associated with MEN 2 syndrome.
- Anaplastic Thyroid Carcinoma
A rare but aggressive form of thyroid cancer that spreads rapidly and is difficult to treat.
How Thyroid Cancer Is Diagnosed
Clinical Examination
A detailed physical check of the neck to feel for lumps or irregularities.
Imaging Tests
Neck Ultrasound:
First-line imaging to assess thyroid nodules. Results are often classified using the TIRADS system.
CT/MRI Scan:
Used for advanced disease or if the cancer extends beyond the thyroid.
PET-CT Scan:
Recommended if cancer is suspected to have spread to other parts of the body.
FNAC (Fine Needle Aspiration Cytology)
A minimally invasive procedure where a fine needle is used to extract cells from the thyroid lump for microscopic evaluation. FNAC under ultrasound guidance improves accuracy.
Blood Tests
Thyroid Function Tests: Help assess whether the thyroid is underactive or overactive.
Thyroglobulin Test: A tumour marker used especially in the follow-up of differentiated thyroid cancers.

Treatment Options for Thyroid Cancer
Treatment is based on the type and stage of cancer, and patient-specific factors. Most thyroid cancers are highly treatable.
Surgical removal is the cornerstone of thyroid cancer treatment. Options include:
- Lobectomy: Removal of one thyroid lobe.
- Total Thyroidectomy: Complete removal of the thyroid gland.
- Lymph Node Dissection: If cancer has spread to nearby lymph nodes.
Robotic thyroid surgery is now available and offers a minimally invasive alternative with better cosmetic results.
Used after surgery to destroy remaining cancerous thyroid tissue, especially in papillary and follicular thyroid cancers.
External beam radiation is rarely used but may be recommended in certain aggressive or unresectable cancers.
Thyroid cancer is generally resistant to chemotherapy. However, advanced or metastatic cases may benefit from:
- Targeted therapy (e.g., tyrosine kinase inhibitors)
- Immunotherapy for rare, treatment-resistant types
Our Oncologists
FAQs - Thyroid cancer treatment
What are the main treatment options for thyroid cancer?
The main treatment options for thyroid cancer include surgery such as lobectomy or total thyroidectomy, followed by radioactive iodine (RAI) therapy, thyroid hormone therapy, external beam radiation and targeted therapy for advanced cases. At Thangam Cancer Center, doctors choose the best combination based on the cancer type, stage and patient health.
What types of surgery are used to treat thyroid cancer?
The common surgeries for thyroid cancer are total thyroidectomy, where the entire thyroid is removed, and lobectomy, which removes only one lobe. Some patients may also need lymph node dissection if cancer has spread. Surgeons at Thangam Cancer Center recommend the safest option based on tumor size and location.
When is surgery needed for thyroid cancer treatment?
Surgery is needed for thyroid cancer when a biopsy confirms the cancer, meaning the tumor is confined to the thyroid gland. Doctors may also recommend surgery if a thyroid nodule is strongly suspected of being cancerous, even before it spreads. The type of surgery depends on the tumor size, location and whether lymph nodes are involved. At Thangam Cancer Center, our specialists use imaging and biopsy results to decide the safest and most effective surgical approach for each patient.
What is the best treatment for thyroid cancer in India?
The best thyroid cancer treatment in India depends on the cancer type and stage. Most patients benefit from surgery followed by RAI therapy and thyroid hormone suppression therapy. Advanced cases may require targeted drugs or radiation. Thangam Cancer Center provides personalized treatment plans using all modern options.
Is thyroid cancer curable in India?
Yes, thyroid cancer is highly curable in India, especially when detected early. Most patients with papillary or follicular thyroid cancer achieve excellent long-term outcomes after surgery and RAI therapy. At Thangam Cancer Center, early diagnosis and tailored care further improve cure rates.
How is radioactive iodine (RAI) therapy used in thyroid cancer treatment?
Radioactive iodine (RAI) therapy is used after surgery to target and destroy remaining thyroid cells, including any microscopic cancer cells that may be left behind to reduce recurrence. It is most effective for papillary and follicular thyroid cancers because these cells absorb iodine. At Thangam Cancer Center, RAI dosage is customized based on tumor characteristics and risk factors.
When is external beam radiation therapy recommended for thyroid cancer?
External Beam Radiation Therapy (EBRT) is usually recommended for high-risk thyroid cancers, especially Medullary Thyroid Cancer (MTC) and Anaplastic Thyroid Cancer (ATC). Doctors may also advise EBRT when:
- The cancer cannot be completely removed by surgery
- The tumor does not absorb radioactive iodine (RAI)
- Cancer has spread outside the thyroid to nearby tissues
- There is a high chance of the cancer returning in the neck
At Thangam Cancer Center, EBRT is considered only when it provides a clear advantage in controlling the disease or reducing symptoms.
Is surgery necessary for all thyroid cancer patients?
No, surgery is not necessary for every thyroid cancer patient. For very small low-risk tumors, doctors may recommend active surveillance (watchful waiting) whereas some aggressive thyroid cancers may not fully respond to surgery alone and may need additional treatments like radiation, RAI therapy, or targeted therapy. At Thangam Cancer Center, doctors evaluate each case before recommending surgery.
How long does thyroid cancer treatment typically last and what is the recovery process?
Thyroid cancer treatment timelines vary. Surgery recovery usually takes 2–3 weeks, RAI therapy may take a few days to weeks, and thyroid hormone therapy continues long-term. Follow-up scans and blood tests monitor recovery. At Thangam Cancer Center, patients receive structured post-treatment care to ensure smooth healing and long-term monitoring.
