Try adjusting your type
14th October, 2009
European Survey on Standards of Care in paediatric oncology centres. J. R. Kowalczyk, M. Samardakiewicz, K. Pritchard-Jones, R. Ladenstein, S. Essiaf, E. Fitzgerald, G. Petrarulo, G. Vassal - EJC , Volume 61, pp 11-19
8th December, 2014
The purpose of this website is to provide good and clear information about the long-term effects of childhood cancer and to refer to the various late-effects outpatient clinics (LATER outpatient clinics) that exist in the Netherlands.
8th September, 2015
Cancer in young people is rare, but it is still a major health issue in Europe. Each year, more than 6,000 young people in Europe die of cancer. There are more than 300,000 European childhood cancer survivors (in 2020, they will be nearly half a million): two-thirds of them have some late side effects of treatment, that are severe and impact on the daily life of half of those affected.
Anaplastic thyroid cancer is a rare, aggressive type of thyroid cancer characterized by uncontrolled growth of cells in the thyroid, a gland located at the base of the neck. This cancer often grows quickly and spreads to other parts of the body, making it difficult to treat. Despite its severity, it accounts for only about 1-2% of all thyroid cancers.
Thyroid cancer, a disease characterized by an abnormal and uncontrolled growth of cells in the thyroid gland, occurs in several forms. Among them, Anaplastic thyroid cancer stands out because of its rarity and severity.
The thyroid gland, located at the base of your neck, is responsible for producing vital hormones that regulate numerous metabolic processes throughout the body. While there are several types of thyroid cancers, the four most common forms are papillary, follicular, medullary, and anaplastic. Each derives its name from the type of cells involved.
Anaplastic Thyroid Cancer (ATC) is a form of thyroid cancer that progresses very quickly. It is also the least common type, representing less than 2% of all thyroid cancers. However, its impact is significant, being one of the most lethal forms of cancer due to its rapid spread and resistance to therapy.
The thyroid gland is a small, butterfly-shaped gland situated at the base of the neck, just below Adam’s apple. It consists of two lobes, connected by a thin piece of tissue called the isthmus. The microscopic follicular cells within the thyroid produce important hormones—thyroxine (T4) and triiodothyronine (T3)—that play a significant role in the body’s metabolism, growth, and development.
The hormones produced by the thyroid gland regulate vital body functions. They control metabolism, influence heart rate, regulate body temperature, and even contribute to protein synthesis. The thyroid also produces calcitonin, a hormone that helps control calcium levels in the body.
Anaplastic thyroid cancer (ATC) is an invasive type of thyroid cancer that grows rapidly and spreads to other body parts, including the lungs and bones. It starts in the follicular cells of the thyroid and its cells look very different from normal cells under a microscope. Despite being rare, ATC is very aggressive and often difficult to treat effectively.
Compared to other forms of thyroid cancers such as papillary and follicular, anaplastic thyroid cancer is more aggressive and has a poorer prognosis. While other thyroid cancers grow slowly and can often be successfully treated with surgery or radioactive iodine, ATC often spreads quickly to other parts of the body and is usually resistant to therapy.
Genetic mutations are a significant factor associated with anaplastic thyroid cancer. Specific gene changes recognized in ATC include alterations in the BRAF, RAS, and p53 genes. Possessing these mutations does not guarantee the development of ATC, but their presence considerably heightens the risk.
Particular risk factors increase the likelihood of developing ATC. Exposure to high levels of radiation, especially during childhood, is a known inducer of thyroid cancers. Age, gender, and a past history of goiter or other thyroid diseases also play a considerable role. ATC is more prevalent among females and those above 60 years.
Early detection of ATC is often challenging. Some of the initial symptoms can include a rapidly increasing, painless lump in the front of the neck, trouble swallowing or breathing, changes in the voice, or persistent cough.
As anaplastic thyroid cancer progresses, the symptoms become more severe, and can include voice changes due to vocal cord paralysis, difficulty swallowing or breathing, neck pain, cough, and sometimes symptoms related to metastasis to other body parts.
The diagnosis of ATC involves several steps, commencing with a detailed medical history and physical examination. If suspicions arise, additional tests such as blood tests, imaging studies (like CT, MRI or PET scans), and a biopsy- where a sample of thyroid tissue is removed for examination under a microscope- may be carried out.
Cancer staging is crucial to determine the extent of cancer spread and to plan the most effective treatment strategy. ATC is often studied using the TNM system (Tumour, Nodes, Metastasis). However, most detected ATC cases are already in advanced stages, causing a direct impact on the possible treatment options and survival rates.
The treatment plan for ATC is typically multidisciplinary, involving combinations of surgery, chemotherapy, and radiation therapy. Due to ATC’s aggressive nature, patients may need to start treatment immediately after diagnosis.
Surgery for ATC aims to remove as much of the tumor as possible. In some cases, the whole thyroid may need removal. Post-surgery, radiation therapy is commonly applied to kill remaining cancer cells. Chemotherapy, often used in combination with radiation, also plays a role when surgery isn’t an option or when the cancer has spread to other parts of the body. In some select cases, targeted drug therapy may be effective.
Living with ATC can be challenging due to its aggressive nature and fast progression. It frequently affects fundamental processes like swallowing and breathing, reducing patients’ quality of life. The subsequent emotional and psychological impact can also be significant. Consulting mental health and support groups can be highly beneficial.
Typically, the prognosis for anaplastic thyroid cancer patients is severe. Still, survival rates vary depending on factors like age, overall health, and how far the cancer has spread at the time of diagnosis. The average survival for patients with ATC is usually under one year.
Robust research efforts are underway to understand better and treat ATC. Numerous clinical trials are investigating novel therapeutic strategies including targeted therapies and immunotherapies. These seek to maximize cancer cell eradication while minimizing damage to regular cells.
Recent advancements have seen the development of drugs that target specific genetic alterations in ATC cells. Immunotherapy, where the body’s immune system is stimulated to combat the cancer cells, also shows promising outlooks and is currently under investigation in many clinical trials.
Anaplastic thyroid cancer, while rare, is a severe form of cancer which requires aggressive treatment and comprehensive medical attention. While the overall prognosis is typically grim, ongoing research and increasing knowledge about the disease provide hope for improving these survival rates and offer better treatments. Intensive supportive care is essential to managing symptoms and maintaining the quality of life for ATC patients.
No, anaplastic thyroid cancer is rare, comprising less than 2% of all thyroid cancers. However, it is one of the most severe forms.
Anaplastic thyroid cancer is different from other types due to its extremely aggressive nature. Unlike other thyroid cancers that grow slowly, ATC grows rapidly and often spreads to other parts of the body.
While there is no surefire way to prevent ATC, minimizing exposure to known risk factors such as radiation can lower the risk. Additionally, living a healthy lifestyle can significantly decrease the chances of developing most cancers, including ATC.
Treatment for ATC generally involves a combination of surgery, radiation therapy, and chemotherapy. Some patients may also benefit from targeted drug therapy.
Life expectancy for patients with ATC varies considerably depending on the stage of the disease at diagnosis and the patients’ overall health. On average, the survival period is usually under one year. However, ongoing advancements and research are working towards improving these figures.
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