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Thyroid Cancer - Symptoms and Causes

30 October, 2025

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Thyroid cancer

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Thyroid cancer is a type of cancer that affects the thyroid gland, a small, butterfly-shaped organ located at the base of your neck. Although it is relatively rare compared to other cancers, thyroid cancer is increasingly being diagnosed worldwide – often due to improved imaging techniques and heightened awareness.

This blog will explore the symptoms of thyroid cancer, its causes, the various types of thyroid cancer, and available treatment options, including thyroid cancer surgery. If you're an NRI considering medical treatment or long-term health planning in India, we’ll also discuss how Niva Bupa NRI Health Insurance Plans can offer you peace of mind.

What is Thyroid Cancer?

The thyroid gland is part of the endocrine system and is responsible for producing hormones that regulate metabolism, heart rate, body temperature, and more. Thyroid cancer occurs when cells in the thyroid grow uncontrollably and form a tumour. Most thyroid cancers are highly treatable, especially when diagnosed early.

Thyroid Cancer Symptoms

Thyroid cancer symptoms can be subtle and are often mistaken for other, less serious conditions. In some cases, people may not experience any symptoms at all in the early stages, and the cancer is discovered incidentally during a scan for another issue.

Common Thyroid Cancer Symptoms Include:

  • A lump or swelling in the neck, often painless
  • Hoarseness or changes in voice that do not improve
  • Difficulty swallowing
  • Persistent cough not linked to a cold
  • Pain in the neck or throat
  • Swollen lymph nodes in the neck

     

If you notice any of these symptoms, especially a persistent lump or swelling, it is crucial to seek medical evaluation. While not all neck lumps are cancerous, early detection significantly improves the success of thyroid cancer treatment.

What Causes Thyroid Cancer?

The exact causes of thyroid cancer are not fully understood, but several risk factors have been identified:

1. Genetic Factors

A family history of thyroid cancer or genetic conditions such as familial medullary thyroid cancer or multiple endocrine neoplasia (MEN) can increase your risk.

2. Radiation Exposure

Exposure to radiation, especially in childhood, is a well-established risk factor. This may include radiation therapy for other cancers or environmental exposure (e.g., nuclear accidents).

3. Gender and Age

Thyroid cancer is more common in women than men, and often occurs between the ages of 25 and 65.

4. Iodine Deficiency or Excess

Both insufficient and excessive iodine levels in the diet may be linked to thyroid dysfunction and increase cancer risk.

5. Pre-existing Thyroid Conditions

People with benign thyroid nodules or conditions like goitre may have a slightly elevated risk of developing thyroid cancer.

Types of Thyroid Cancer

There are several types of thyroid, classified based on the type of cells in the thyroid that become cancerous. Understanding the type is important for determining the most effective treatment approach.

1. Papillary Thyroid Cancer

  • The most common type (about 80% of cases)
  • Tends to grow slowly and is highly treatable
  • Often spreads to lymph nodes but rarely fatal

     

2. Follicular Thyroid Cancer

  • Second most common type
  • More likely to spread to the lungs or bones
  • Usually occurs in older adults

     

3. Medullary Thyroid Cancer

  • Develops from C cells, which produce calcitonin
  • Can be inherited (familial medullary thyroid cancer)
  • May require genetic testing for affected families

     

4. Anaplastic Thyroid Cancer

  • A rare but aggressive form
  • Grows quickly and is difficult to treat
  • Usually occurs in older adults and may not respond well to standard therapies

     

5. Thyroid Lymphoma

  • Very rare type that originates in immune system cells within the thyroid
  • Typically affects older women and may be associated with Hashimoto’s thyroiditis

     

Understanding the types of thyroid is critical for deciding on appropriate treatments and estimating prognosis.

How is Thyroid Cancer Diagnosed?

If a doctor suspects thyroid cancer, they will usually perform the following tests:

  • Physical examination of the neck
  • Ultrasound imaging to detect nodules and determine characteristics
  • Fine needle aspiration (FNA) biopsy to test thyroid tissue for cancer cells
  • Blood tests to check thyroid hormone levels and tumour markers (like calcitonin)
  • CT scans or MRIs to assess if the cancer has spread

     

Early diagnosis leads to more successful outcomes and may limit the need for aggressive treatments.

Thyroid Cancer Treatment Options

The treatment plan depends on the type and stage of thyroid cancer, the patient’s age, overall health, and whether the cancer has spread.

1. Thyroid Cancer Surgery

Surgery is often the first and most important step in thyroid cancer treatment. Types of thyroid surgery include:

  • Lobectomy – removal of one lobe of the thyroid
  • Total thyroidectomy – removal of the entire thyroid gland
  • Lymph node dissection – removal of nearby lymph nodes if cancer has spread

     

After surgery, patients usually need to take thyroid hormone replacement therapy for life to regulate metabolism.

2. Radioactive Iodine Therapy (RAI)

Used to destroy any remaining thyroid tissue or cancer cells post-surgery, particularly for papillary and follicular types.

3. External Beam Radiation

May be used in aggressive cases such as anaplastic thyroid cancer or when cancer does not respond to RAI.

4. Chemotherapy

Generally not effective for most thyroid cancers but may be used in advanced cases, especially for anaplastic types.

5. Targeted Therapy

Newer drugs can block the growth of cancer cells at the molecular level. These are often used for cancers that don’t respond to other treatments.

Living with Thyroid Cancer

The prognosis for thyroid cancer is generally excellent, especially for papillary and follicular types. Many people recover fully with proper treatment. Long-term follow-up is important to monitor for recurrence, adjust hormone levels, and manage side effects.

Maintaining a healthy lifestyle, attending regular medical check-ups, and understanding your condition can help ensure a high quality of life post-treatment.

Why Health Insurance Matters – Especially for NRIs

As thyroid cancer may require surgery, long-term follow-up, and sometimes advanced treatments like radioactive iodine therapy or targeted drugs, access to quality healthcare is essential.

Niva Bupa NRI Health Insurance Plans

If you're a Non-Resident Indian (NRI) or plan to return to India for medical care, choosing a reliable health insurance provider is crucial.

Niva Bupa’s NRI Health Insurance Plans offer:

  • Cashless hospitalisation at a wide network of Indian hospitals
  • Coverage for thyroid cancer treatment, including surgery, medications, and diagnostics
  • Pre- and post-hospitalisation expenses
  • Access to teleconsultations and second opinions
  • Support for international claims and portability

Our plans are tailored for global Indians who want the reassurance of world-class medical care while in India.

Final Thoughts

Thyroid cancer is one of the most treatable forms of cancer, especially when diagnosed early. Understanding the symptoms of thyroid cancer, knowing the types, and seeking timely medical attention can make all the difference in outcomes.

Whether you're living in India or abroad, investing in health insurance in india like Niva Bupa's NRI offering ensures you're prepared to handle complex treatments and recover with confidence.

 

FAQs

1. What are the early symptoms of thyroid cancer?

Early thyroid cancer symptoms may include a painless lump or swelling in the neck, changes in voice, difficulty swallowing, or a persistent cough. In many cases, the cancer is found during a routine scan or check-up before symptoms appear.

2. What causes thyroid cancer?

The exact cause isn’t always clear, but thyroid cancer can be linked to radiation exposure, genetic conditions, family history, and iodine imbalance. Certain inherited syndromes like familial medullary thyroid cancer can also increase risk.

3. What are the main types of thyroid?

There are several types of thyroid, including papillary, follicular, medullary, anaplastic, and thyroid lymphoma. Papillary thyroid cancer is the most common and generally has the best prognosis.

4. How is thyroid cancer treated?

Thyroid cancer treatment usually involves surgery to remove part or all of the thyroid gland. Additional treatments may include radioactive iodine therapy, hormone replacement, external radiation, or targeted therapy, depending on the type and stage.

5. Is thyroid cancer curable?

Yes, especially when diagnosed early. Most types of thyroid cancer, particularly papillary and follicular, are highly treatable and have excellent long-term survival rates. Ongoing follow-up care is important to monitor for recurrence.

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