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Definition

Anaplastic thyroid carcinoma is a rare and aggressive form of cancer of the thyroid gland.

Alternative Names

Anaplastic carcinoma of the thyroid

Causes, incidence, and risk factors

Anaplastic thyroid cancer grows very rapidly and is an invasive type of thyroid cancer. It occurs most often in people over age 60. The cause is unknown.

Anaplastic cancer accounts for only about 1% of all thyroid cancers.

Symptoms
  • Cough
  • Coughing up blood
  • Difficulty swallowing
  • Hoarseness or changing voice
  • Loud breathing
  • Lower neck mass, often noted to be rapidly enlarging
Signs and tests

A physical examination almost always show a neck mass.

  • A CT scan or MRI of the neck may show a tumor growing from the thyroid gland.
  • A thyroid biopsy shows anaplastic cancer.
  • An examination of the airway with a fiberoptic scope (laryngoscopy) may show a paralyzed vocal cord.
  • A thyroid scanshows this mass to be "cold," meaning it does not absorb a radioactive isotope.

Thyroid function blood tests are usually normal.

Treatment

This type of cancer cannot be cured by surgery. For most patients, complete removal of the thyroid gland does not prolong their life.

Of other treatment options, only radiation therapy combined with chemotherapy give significant benefit.

Surgery to place a tube in the throat to help with breathing (tracheostomy) or in the stomach to help with eating (gastrostomy) may be needed.

For some patients, enrolling in a clinical trial of new thyroid cancer treatments may be an option.

Support Groups

The stress of illness can often be eased by joining a support group of people sharing common experiences and problems. See: Cancer - support group

Expectations (prognosis)

The prognosis of this disease is poor. Most people do not survive longer than 6 months due to the aggressive nature of this disease and lack of effective treatment options.

Complications
  • Spread of tumor within the neck
  • Metastasis(spread) of cancer to other body tissues or organs
Calling your health care provider

Call your health care provider if there is a persistent lump or mass in the neck, hoarseness, changing voice, cough, or coughing up blood.

References

Ladenson P, Kim M. Thyroid. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 244.

National Comprehensive Cancer Network. NCCN Guidelines in Oncology 2010: Thyroid Cancer. Version 1.2010.

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Definition

Anaplastic thyroid carcinoma is a rare and aggressive form of cancer of the thyroid gland.

Alternative Names

Anaplastic carcinoma of the thyroid

Causes, incidence, and risk factors

Anaplastic thyroid cancer grows very rapidly and is an invasive type of thyroid cancer. It occurs most often in people over age 60. The cause is unknown.

Anaplastic cancer accounts for only about 1% of all thyroid cancers.

Symptoms
  • Cough
  • Coughing up blood
  • Difficulty swallowing
  • Hoarseness or changing voice
  • Loud breathing
  • Lower neck mass, often noted to be rapidly enlarging
Signs and tests

A physical examination almost always show a neck mass.

  • A CT scan or MRI of the neck may show a tumor growing from the thyroid gland.
  • A thyroid biopsy shows anaplastic cancer.
  • An examination of the airway with a fiberoptic scope (laryngoscopy) may show a paralyzed vocal cord.
  • A thyroid scanshows this mass to be "cold," meaning it does not absorb a radioactive isotope.

Thyroid function blood tests are usually normal.

Treatment

This type of cancer cannot be cured by surgery. For most patients, complete removal of the thyroid gland does not prolong their life.

Of other treatment options, only radiation therapy combined with chemotherapy give significant benefit.

Surgery to place a tube in the throat to help with breathing (tracheostomy) or in the stomach to help with eating (gastrostomy) may be needed.

For some patients, enrolling in a clinical trial of new thyroid cancer treatments may be an option.

Support Groups

The stress of illness can often be eased by joining a support group of people sharing common experiences and problems. See: Cancer - support group

Expectations (prognosis)

The prognosis of this disease is poor. Most people do not survive longer than 6 months due to the aggressive nature of this disease and lack of effective treatment options.

Complications
  • Spread of tumor within the neck
  • Metastasis(spread) of cancer to other body tissues or organs
Calling your health care provider

Call your health care provider if there is a persistent lump or mass in the neck, hoarseness, changing voice, cough, or coughing up blood.

References

Ladenson P, Kim M. Thyroid. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 244.

National Comprehensive Cancer Network. NCCN Guidelines in Oncology 2010: Thyroid Cancer. Version 1.2010.

Reviewed By

Review Date: 03/02/2010

David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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Related questions

What is anaplastic thyroid cancer?

anaplastic (2% of all thyroid cancers), is the fastest-growing and is usually fatal because the cancer cells rapidly spread to the different parts of the body.


What is the five year survival rate for anaplastic thyroid cancer?

Only 3-17% of patients with anaplastic cancer survive for five years.


Can papillary thyroid cancer turn into anaplastic thyroid cancer if left untreated?

Anaplastic thyroid cancer usually arises from a site of preexisting papillary thyroid cancer or follicular thyroid cancer. The transformed cells that grow to form this type of cancer divide rapidly to form disorganized masses. Anaplastic thyroid cancer tends to grow very rapidly, replacing the normal tissue of the thyroid gland and spreading to invade and metastasize to other structures in the neck. It does not respond well to treatment. Surgery and external beam radiation therapy may be used to treat cases where aggressive growth of cancer has significantly impaired swallowing or breathing. On the whole, anaplastic thyroid cancer has a very poor prognosis.


What are the Four main types of thyroid cancer?

Papillary, follicular, medullary and anaplastic


When did Antonia Bird die?

Antonia Bird died on October 24, 2013, in London, England, UK of anaplastic thyroid cancer.


What are the survival rates for thyroid cancer?

Thyroid cancer is generally associated with very high survival rates. The prognosis for thyroid cancer is often favorable, with the majority of patients surviving the disease. Survival rates can vary depending on the specific type and stage of thyroid cancer. Here are some general survival rate statistics: Papillary Thyroid Cancer: Papillary thyroid cancer, the most common type, has a high survival rate. The 5-year relative survival rate for localized papillary thyroid cancer is approximately 99%, meaning that almost all patients with localized disease are alive 5 years after diagnosis. Even for regional (spread to nearby lymph nodes) or distant (metastatic) disease, the 5-year survival rate remains relatively high at around 93%. Follicular Thyroid Cancer: Follicular thyroid cancer also has favorable survival rates. The 5-year relative survival rate for localized disease is approximately 97%. For regional disease, it's about 86%, and for distant disease, it's around 67%. Medullary Thyroid Cancer: Medullary thyroid cancer has slightly lower survival rates compared to papillary and follicular types. For localized disease, the 5-year relative survival rate is around 98%. For regional disease, it's about 89%, and for distant disease, it drops to approximately 41%. Anaplastic Thyroid Cancer: Anaplastic thyroid cancer is the most aggressive form of thyroid cancer, and survival rates are much lower. The 5-year relative survival rate for this type is generally less than 10%, and many cases are fatal.


In which organ could one get an anaplastic astrocytoma?

Anaplastic Astrocytoma is an individual form of Astrocytoma. Because Astrocytoma is a cancer of the brain, it then follows that the brain is the organ that gets Anaplastic Astrocytoma.


Understanding the Symptoms and Treatment of Thyroid Cancer?

The thyroid is a butterfly shaped organ positioned in the front of the neck below the voice box. The thyroid gland produces important hormones that work toward the normal metabolism of the body. The follicular cells of the thyroid affect an individual's heart rate, energy level, and body temperature. C cells in the thyroid regulate the amount of calcium in the body. Thyroid cancer originates in the thyroid gland. Four types of thyroid cancer exist, which include papillary, medullary, follicular, and anaplastic.Types of Thyroid CancerThyroid cancer can begin in the follicular or C cells, depending on the type of thyroid cancer an individual develops. Majority of thyroid cancer patients are diagnosed with papillary or follicular thyroid cancer. Most individuals are successfully treated because most types of thyroid cancer are slow to grow and spread to other organs. Patients have the best chance of survival when the cancer stays in the thyroid. Medullary and anaplastic account for a very small percentage of thyroid cancer cases. Anaplastic is the most aggressive form of thyroid cancer.SymptomsEarly stages of thyroid cancer do not produce symptoms, but symptoms manifest as the cancer begins to grow. Common symptoms include a lump or mass in the front of the neck close to the Adam's apple, hoarseness or difficulty speaking, pain in the neck or throat, or swollen lymph nodes located in the neck. These symptoms can also be associated with an infection, a benign goiter or another issue associated with the thyroid.TreatmentsThe type of treatment recommended depends on the severity and specific type of thyroid cancer found in an individual. The most common type of treatment for thyroid cancer is surgery. The thyroid and any infected lymph nodes are removed during the surgery. A surgeon may recommend a lobectomy for certain patients, in which the lobe with the cancerous nodule is removed. Most patients must take thyroid hormone pills after having part or all of their thyroid removed.


What is the scientific name of bladder cancer?

The scientific name for bladder cancer is "urothelial carcinoma," formerly known as "transitional cell carcinoma." Urothelial carcinoma is the most common type of bladder cancer, accounting for the majority of cases. It originates in the urothelial cells, which line the inside of the bladder and the urinary tract. Other less common types of bladder cancer include squamous cell carcinoma, adenocarcinoma, and small cell carcinoma, but urothelial carcinoma is the most prevalent.


What are the four stages of thyroid cancer?

Thyroid cancer is typically classified into four stages based on the extent of the disease. The staging system commonly used for thyroid cancer is the TNM system, which considers the size of the tumor (T), the involvement of lymph nodes (N), and the presence of distant metastasis (M). The stages are numbered from I to IV, with higher numbers indicating more advanced disease. The four stages of thyroid cancer are as follows: Stage I (T1, N0, M0): At this stage, the cancer is localized to the thyroid and is small in size. It has not spread to nearby lymph nodes (N0) or distant organs (M0). Stage II (T2, N0, M0): The cancer may be larger than in Stage I but is still confined to the thyroid. There is no involvement of nearby lymph nodes (N0) or distant organs (M0). Stage III (T3 or T4, N1a or N1b, M0): At this stage, the tumor may have grown beyond the thyroid and invaded nearby structures (T3 or T4). The cancer has spread to nearby lymph nodes in the neck (N1a or N1b) but has not reached distant organs (M0). Stage IV (Any T, Any N, M1): This is the most advanced stage of thyroid cancer, where the cancer has spread to distant organs or distant lymph nodes (M1). The specific T and N classifications may vary, but the key characteristic of Stage IV is the presence of distant metastasis. It's important to note that the prognosis and treatment options for thyroid cancer can vary based on the specific type of thyroid cancer (e.g., papillary, follicular, medullary, anaplastic) and other factors. Staging helps guide treatment decisions and provides an indication of the extent of the disease. If someone is diagnosed with thyroid cancer, their healthcare team will conduct various tests to determine the stage of the cancer, which is crucial for developing an appropriate treatment plan.


The Different Types of Thyroid Cancer?

Located in the front of your lower neck, the thyroid is the largest endocrine gland in the human body. It is responsible for how the body uses energy by producing proteins and determining how sensitive the body is to hormones. Thyroid cancer is a cancer that starts in the thyroid gland but can spread to other parts of the body. Symptoms of thyroid cancer can include neck swelling, persistent cough, swelling in the neck, enlargement of the thyroid gland, and problems swallowing. There are four types of thyroid cancer: papillary, anaplastic, medullary, and follicular. The most common type of thyroid cancer is papillary carcinoma and usually affects women under 45. It is the least dangerous type of cancer as it spreads more slowly, which enables earlier detection. Most people with this type of thyroid cancer are cured and can expect to have a normal life span. The rarest form, anaplastic carcinoma, also is the most dangerous type of thyroid cancer. It spreads rapidly, usually ruling out a quick surgical removal, and does not respond well to radiation therapy. No matter how aggressive the treatment, this type of thyroid cancer is usually deadly. Medullary carcinoma has a genetic basis, as it tends to appear among families. This cancer occurs in those non-thyroid cells generally present in the thyroid. The treatment outcomes vary greatly, with younger women tending to experience better outcomes than most patients. Accounting for a tenth of all thyroid cancers, follicular carcinomas often are fast growing but highly treatable. Most patients with this type of thyroid cancer can expect to be fully cured. The most common form of treatment is surgery, with the entire gland being removed. It is very common for lymph nodes to be removed at this time as well. Radiation therapy often is used, either through x-ray radiation or ingesting radioactive iodine. Chemotherapy can be used if the cancer has spread to other parts of the body, but this is rarely effective for any but a small number of patients.


When was Thyroid Cancer Canada created?

Thyroid Cancer Canada was created in 2002.