Thyroid cancer- A brief overview and Patient Guide

cancer specialist in Delhi

Most common endocrine gland cancer which is generally considered as a disease of the developed world. Incidence of this disease is increasing throughout the world and the most common reason cited for this is overdiagnosis due to the availability of better diagnostic facilities like Ultrasound, CT, MRI and recently PET CT. More and more thyroid lesions are incidentally found in these studies done for other indications which otherwise may not have been detected. 

Incidence is also rising in India and more so in South India. It comprises <1% of total cancer cases in India.

Patients are the mostly asymptomatic and the commonest presentation of this disease is swelling in the neck. Though sometimes patient may present with a change in voice or difficulty in swallowing and/or respiration if there is a large swelling causing compression

Younger population and female sex (approx 3-4:1) is more prone to the disease. Other risk factors include Radiation exposure (Therapeutic, diagnostic or Occupational), Family history, Obesity, Smoking Etc.

Thyroid cancer is a heterogeneous group because of different cells of origin in the same gland and primarily can be categorized into:

1. Papillary or Mixed papillary or follicular thyroid cancer (Most common type, approx 85%)

2. Follicular or Hurthle cell thyroid cancer (approx 10%) 

3. Medullary thyroid cancer(approx 3%)

4. Anaplastic or Undifferentiated thyroid cancer (<1%)

Not only these types differ in the cell of origin but each has a different prognosis depending upon the stage of the disease with Anaplastic carcinoma having the worst prognosis

How to Diagnose Thyroid Cancer?

The simplest way of Diagnosis is an Ultrasound and a guided FNAC or Biopsy.

Other ways of diagnosis and differentiation can be tumor markers and specialized tests like MRI.

As most thyroid cancers are iodine avid, we generally do not prescribe a CT scan with contrast as the contrast contains iodine and can interfere with the treatment. Once we confirm the diagnosis and stage the disease treatment is planned. Visit the best cancer care hospital in Delhi for the diagnosis.

How is Thyroid Cancer Treated?

Thyroid cancers have a better prognosis as compared to other types of cancers with the possibility of cure and longevity.

Surgical Removal of the Gland (may be hemi or Total) with or without the Lymph nodes in the neck offers the only possibility of a cure for papillary, follicular and other differentiated cancers and Patient may also need post-operative Radioactive iodine therapy depending upon the stage and extent of the disease

No role of chemotherapy or Radiotherapy in the management of Thyroid cancers except in palliative management of Anaplastic or Undifferentiated thyroid cancer 

For Medullary cancers, Surgery offers the only form of cure and some patient might benefit from Targetted Therapy. Surgery can be performed by open or Endoscopic method and most recently Robotic surgery is coming up in a big way for thyroid surgeries as an oncological safe method. Consult with a cancer specialist in Delhi for the treatment procedures.

We at Manipal Hospitals, Dwarka have all the diagnostic and therapeutic facilities in the house for the management of all type of Thyroid cancers. 


Dr. Pushpinder Gulia

Consultant - Surgical Oncology, Oncology Sciences

Manipal Hospitals - Dwarka, Delhi


Health Check
Home Care
Contact Us
Write to COO
Review Us
Call Us