Thyroid cancer – What causes it? Endocrinology experts warn of five potential complications of thyroid cancer

Thyroid cancer – What causes it? Endocrinology experts warn of five potential complications of thyroid cancer

16-05-2023
Otolaryngology

Thyroid cancer is a condition that can be completely cured if detected early and treated promptly. However, the disease often progresses silently, making it difficult for patients to recognize symptoms without regular thyroid examinations. This delayed detection can lead to severe and potentially life-threatening complications.

Thyroid cancer – What causes it?

Thyroid cancer is a malignant disease that develops from abnormal growth of thyroid cells. The causes of this condition are multifactorial and complex. Below is an overview of the main contributing factors, based on reputable endocrinology and oncology research.

Hormonal imbalance

Disorders in thyroid hormone regulation are a major contributor to thyroid cancer. Both excessive and insufficient hormone production — such as hyperthyroidism (elevated T4) or hypothyroidism — can disrupt cellular activity and increase the risk of malignant transformation.

Chronic inflammation

Prolonged thyroid inflammation, particularly chronic thyroiditis (such as Hashimoto’s thyroiditis), can increase cancer risk. Persistent inflammation caused by immune responses, bacteria, or viral infections leads to tissue damage and abnormal cellular changes.

Be cautious of complications associated with thyroid cancer
Be cautious of complications associated with thyroid cancer

Genetic factors

Genetics play a key role in thyroid cancer development. Inherited gene mutations such as RET, BRAF, and NTRK have been strongly associated with a higher likelihood of thyroid malignancies, especially medullary and papillary thyroid cancer.

Environmental exposure

Certain environmental factors may contribute to thyroid cancer, especially exposure to ionizing radiation (X-rays, gamma rays) or radioactive materials. Radiation exposure during childhood is particularly linked to an increased lifetime risk of thyroid cancer.

Other risk factors

Age, gender, and prior exposure to carcinogens can also influence disease risk. Women are more prone to thyroid cancer, likely due to hormonal differences.

Pre-existing thyroid conditions

Benign thyroid nodules or other thyroid disorders can increase the risk of malignancy. Patients who have previously undergone thyroid surgery or received medications affecting thyroid function also have a higher predisposition.

Nutritional imbalance

Poor nutrition — particularly iodine deficiency — can contribute to thyroid cancer development. Iodine is essential for thyroid hormone synthesis; insufficient intake disrupts thyroid function and may promote abnormal cell growth.

Smoking and alcohol consumption

Tobacco and alcohol use can raise the risk of thyroid cancer. Carcinogenic substances in tobacco smoke and alcohol can damage cells and trigger genetic mutations that lead to malignancy.

While these factors can increase susceptibility, not everyone exposed will develop thyroid cancer. The disease results from a complex interplay of genetic, environmental, and lifestyle influences.

To accurately assess your thyroid health, you should visit a reputable medical facility for evaluation and consultation with an endocrinology specialist.

Book an appointment with endocrinology and thyroid experts via hotline: 0911.858.626 Or register HERE for professional consultation and personalized care.

Complications of Thyroid Cancer

Thyroid disorders often progress silently, showing few or no specific symptoms in their early stages. Without regular thyroid examinations or proper attention to early clinical signs, patients may develop serious complications associated with thyroid cancer, including the following:

Enlargement of thyroid nodules

Thyroid cancer can trigger uncontrolled growth of thyroid cells, leading to the formation and enlargement of thyroid nodules or masses. As these nodules increase in size, they may compress nearby structures in the neck such as muscles, the trachea, and the esophagus, causing symptoms like difficulty breathing, persistent cough, or a sensation of heaviness or tightness in the neck.

Hypothyroidism

Thyroid cancer may impair the gland’s ability to produce sufficient thyroid hormones, leading to hypothyroidism. This condition manifests through symptoms such as fatigue, weakness, weight gain, dry skin and hair, emotional instability, and decreased sexual function. If left untreated, hypothyroidism can significantly impact metabolism and overall quality of life.

Cancer cell metastasis

In more aggressive types, such as medullary thyroid carcinoma or anaplastic thyroid carcinoma, malignant cells can spread to nearby lymph nodes or infiltrate adjacent structures such as the trachea, esophagus, nerves, and large blood vessels. In advanced stages, thyroid cancer can also metastasize to distant organs, including the bones, lungs, heart, and other vital systems, posing life-threatening risks.

Early detection through routine thyroid screening and timely treatment are essential to prevent these serious complications and improve patient outcomes

Metastasis – a serious complication of thyroid cancer
Metastasis – a serious complication of thyroid cancer

Patients receiving surgical or radioactive iodine treatment for thyroid cancer may experience certain complications.

Laryngeal nerve injury: Damage to the recurrent laryngeal nerve may cause difficulty swallowing, hoarseness, or vocal cord paralysis in severe cases.

Other complications: Radioactive iodine therapy may lead to temporary bone marrow suppression, menstrual irregularities, and an increased risk of secondary cancers such as breast and bladder carcinoma.

Preventive measures for thyroid cancer

Although there is no absolute way to prevent thyroid cancer, certain measures can help reduce the risk and improve the quality of life for individuals at high risk.

Regular check-ups: Routine thyroid examinations and thyroid function tests are essential for early detection of abnormalities that may lead to thyroid cancer. This is especially important for individuals with a family history of thyroid disorders or cancer.

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Regular thyroid check-ups are essential to prevent serious complications of thyroid cancer.
Regular thyroid check-ups are essential to prevent serious complications of thyroid cancer.
  • Adequate iodine intake: Iodine is essential for proper thyroid function. Ensuring sufficient iodine in the daily diet can help lower the risk of thyroid cancer. Consult your doctor for guidance on safe and appropriate iodine supplementation.
  • Healthy diet: Adopt a diet rich in antioxidants, fiber, and cancer-fighting fruits and vegetables. Limit foods high in fat, processed products, and fast food to support overall thyroid and metabolic health.
  • Avoid risk factors: Minimize exposure to carcinogens such as tobacco, toxic chemicals, and ultraviolet radiation. Protect your skin from sunlight by using sunscreen, wearing hats, and sunglasses when outdoors.
  • Thyroid hormone regulation: For individuals with thyroid disorders or at high risk of thyroid cancer, maintaining normal hormone levels under medical supervision can help reduce the likelihood of malignancy. In some cases, thyroid hormone therapy (such as levothyroxine) may be prescribed to regulate thyroid function and decrease cancer risk.
  • Mental well-being and immune support: Studies suggest that psychological stress can weaken the immune system and increase cancer susceptibility. Maintaining emotional balance, exercising regularly, and practicing relaxation techniques such as yoga or meditation can strengthen immunity and lower the risk of thyroid cancer.

Please note that these preventive measures cannot guarantee complete protection against thyroid cancer. The most effective approach is to maintain a healthy lifestyle and regularly consult an endocrinologist. The specialist will provide personalized assessments and recommendations based on each individual’s health status and risk factors.

Note: The information provided by Hong Ngoc General Hospital is for reference only and should not replace professional medical diagnosis or treatment. To accurately determine your condition, please visit a reputable medical facility for direct examination and consultation with a qualified physician.

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