Hypothyroid 101: Hashimoto’s thyroiditis CHT is the usual cause of hypothyroidism and is a risk factor for thyroid cancer.
Even before you are hypothyroid the disease may be present for 20 years with positive antibodies and abnormal ultrasound shown here..
Treatment early can prevent nodules and cancer from growing in the CHT gland.
Thyroid cancer in CHT occurs down to age 7!
Get your kids checked as well as your siblings and parents if you have CHT.
- Patients with nodules and CHT are at higher risk for thyroid cancers.
- Also smaller cancers and more multi-focal disease.
- CHT is familial and all first degree relatives need to tested for CHT with thyroid antibodies and neck examinations. If a firm thyroid is noted a neck ultrasound is needed.
- Screening begins at at 7-8 to find early onset CHT.
- Call me for detailed screening for CHT.
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Elevated risk of papillary thyroid cancer in Korean patients with Hashimoto’s thyroiditis†
Hashimoto’s thyroiditis (HT) and higher levels of thyroid‐stimulating hormone (TSH) have been proposed as risk factors for papillary thyroid cancer (PTC), but this issue is still being debated. The purpose of this study was whether HT was related to the risk of PTC over TSH.
We enrolled 1329 patients (1028 with PTC, 52 with follicular thyroid cancer, and 249 with benign disease) of 1490 patients who underwent thyroidectomy.
The TSH concentration was not different among patients with PTC or benign disease. Our study showed that men (odds ratio [OR] = 1.54; p = .049) and the presence of HT (OR = 2.96; p <.001) increased the risk of PTC. Moreover, HT was associated with multifocal cancer (p = .005) and smaller tumor size (p = .031), but it did not influence the extrathyroidal invasion or nodal metastasis.
Clinicians who deal with thyroid nodules should pay particular attention to HT because it is a stronger predictor for PTC than other risk factors. © 2010 Wiley Periodicals, Inc. Head Neck, 2011