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Day in Health
by Lisa Collier Cool
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Tana Amen, RN was 23 and Charlie Nox was 29 when they were diagnosed with thyroid cancernow the fastest rising cancer among women. Not only have rates of the disease soared by 240 percent over the past 20 years, but its expected to become the third most common cancer in the US by 2019, according to Julie Ann Sosa, MD FACS, chief, section of endocrine surgery and director of health services research, department of surgery, at Duke University School of Medicine. This year, more than 60,000 Americansincluding more than 45,000 women will be diagnosed with the disease, which typically targets people under age 55. Another scary fact: about 2 percent of cases occur in children and teens, the American Cancer Society reports. Almost all of the increase is papillary thyroid cancer, which used to account for 80 percent of thyroid cancer cases and has recently risen to 90 percent, reports Dr. Sosa. The disease occurs in the thyroid: a butterfly-shaped gland in the neck just below the Adams apple.
forever, says Nox, a dating coach who is working on a book about continuing to date with cancer. I was shocked at the diagnosis, Nox adds, I thought, I do yoga. I eat salad. I feel great. How can I have cancer at 29?
But my ob/gyn never checked my neck, so I thought this was normal. I was a teenager at the time and had never heard of thyroid cancer. By the time Amen was finally diagnosed, she had advanced thyroid cancer that had spread to her lymph nodes. Despite aggressive treatment with multiple surgeries, radioactive iodine, and other therapies, the cancer has returned three times. Its relatively common for the disease to recur, says Dr. Sosa. Nox also noticed a small lump on her neck, but considered it such a minor problem that she waited six months to consult a doctor. However, the cancer was still caught early, allowing her to avoid the risks and side effects of radiation therapy. Instead, she was treated with surgical removal of the thyroid. While thyroid cancer usually doesnt have early symptoms, potential warning signs include a lump that can be felt through the skin of the neck, hoarseness or other changes in the voice, trouble swallowing, neck or throat pain, and swollen lymph nodes in the neck, according to the Mayo Clinic. Could Garlic Help Prevent Cancer?
If you see any bulges in this area, consult your healthcare provider. You may have an enlarged thyroid gland or a thyroid nodule that should be evaluated for cancer and other thyroid conditions. Dr. Sosa also advises having your neck checked during your annual physical or other routine medical visits, even if you dont notice any lumps.