Will thyroid cancer spread if surgery is not performed immediately after a biopsy?

Written by Yan Chun

Oncology

Updated on September 03, 2024

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Thyroid cancer, after undergoing a fine needle biopsy, may spread if surgery cannot be performed immediately, which is a risk of the thyroid cancer biopsy. Fine needle biopsy of the thyroid is a method for obtaining histopathological results and is a gold standard for the clinical diagnosis of thyroid cancer. A biopsy is an invasive examination that causes some degree of harm to the body, hence, informed consent must be obtained from the patient before proceeding. After the biopsy, complications such as local bleeding, swelling, pain, and infection may occur, and the spread of cancer cells at the biopsy site is a significant adverse effect. Therefore, for most thyroid cancer patients, it is advisable to arrange surgery as soon as possible after a biopsy to prevent the disease from spreading.

Other Voices

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Written by Zhao Xin Lan

Endocrinology

1min 12sec

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Differences between the symptoms of thyroiditis and thyroid cancer

Thyroiditis, if it is acute suppurative thyroiditis, clinical manifestations include fever, local pain in the thyroid, tenderness on palpation, and a hard texture of the thyroid. Examination will show an increase in white blood cells. Subacute thyroiditis may also present with mild fever or high fever and local pain in the thyroid, but compared to suppurative thyroiditis, the increase in white blood cell levels is not as significant in subacute thyroiditis. If it is autoimmune thyroiditis, there may not be obvious symptoms clinically; there may be enlargement of the thyroid, and the thyroid may feel tougher upon palpation. As for thyroid cancer, clinically, if it does not cause hyperthyroidism or hypothyroidism, there are no specific symptoms. When the cancerous tumor is large, there may be an enlargement of the thyroid, the texture of the enlarged thyroid will be very hard, and there will be notable local adhesions. Of course, the main difference can be detected and diagnosed through an ultrasound examination.

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Written by Xu Dong Dong

Endocrinology

52sec

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Can people with normal thyroid function get thyroid cancer?

Thyroid function and thyroid cancer are not necessarily related. It is possible to have thyroid cancer even when thyroid function is normal. Clinically, thyroid cancer is usually detected by color ultrasound. Clinicians will classify thyroid nodules based on their size, texture, growth direction, presence of blood flow signals, clarity of boundaries, infiltration of surrounding tissues, and enlargement of nearby lymph nodes. Nodules classified as categories one to three generally have a benign tendency, and regular follow-up appointments are sufficient. If the nodules are classified as categories four to five, they are suggestive of malignancy, and it is recommended to perform thyroid fine needle aspiration or surgery to determine the pathological type of the nodules.

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Written by Chen Xie

Endocrinology

59sec

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What are the clinical manifestations of thyroid cancer?

For patients with thyroid cancer, the most common clinical manifestation is thyroid nodules, and most patients do not have obvious clinical symptoms, only being incidentally discovered during physical examinations. In rare cases, patients may seek medical attention due to enlarged cervical lymph nodes. As the condition progresses, the neck mass gradually enlarges, becomes firmer, and its mobility decreases during swallowing. In some rapid developments, it may invade surrounding tissues, leading to late-stage symptoms such as hoarseness, difficulty breathing, and difficulty swallowing. When the cervical sympathetic nerve is compressed, it can cause pain in the ears, occipital region, and shoulders. In the case of medullary carcinoma, which can produce serotonin and calcitonin, patients may sometimes experience symptoms such as diarrhea, palpitations, facial flushing, or decreased blood calcium levels.

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Written by Zhang Li

Endocrinology

57sec

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The Differences between Thyroiditis, Hyperthyroidism, and Thyroid Cancer

Thyroiditis, hyperthyroidism, and thyroid cancer are clinically distinct conditions. Thyroiditis refers to inflammatory changes in the thyroid, either autoimmunity-related, suppurative or due to inflammation. Hyperthyroidism broadly refers to a functional change, which can result from various thyroid changes caused by diseases, including external damage and inflammation, leading to symptoms of hyperthyroidism. However, these manifestations should not be confused with each other, with the latter more closely related to autoimmune thyroiditis. Thyroid cancer, on the other hand, is a malignant alteration that also occurs in the thyroid gland but is not closely related to thyroiditis or hyperthyroidism. Generally, thyroid cancer is malignant, while thyroiditis and hyperthyroidism are benign, chronic conditions.

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Written by Sun Ming Yue

Medical Oncology

46sec

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Is there an abnormality in the routine blood test for thyroid cancer?

If you have thyroid cancer, it is advised that patients promptly visit a formal hospital for examination. If one undergoes a routine blood test, generally there will be no abnormalities. This test can reveal the number of platelets, the presence of anemia, or the state of white blood cells, which are not related to the thyroid. Therefore, if thyroid cancer patients undergo routine blood tests, typically no abnormalities will be found. In daily life, patients should ensure they rest sufficiently, engage in less physically demanding exercise, maintain a cheerful mood, plan their three meals a day wisely, and pay attention to nutritious diet planning.