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Cancer, Thyroid Gland

Related Terms

Anaplastic Carcinoma
Cancer of the Thyroid
Follicular Carcinoma
Malignant Lymphoma of the Thyroid
Medullary Carcinoma
Papillary Carcinoma
Thyroid Cancer

Differential Diagnoses

Benign thyroid nodules or cysts
Goiter
Hashimoto's thyroiditis

Specialists

Endocrinologist
General Surgeon
Oncologist
Otolaryngologist
Radiology Oncologist

Comorbid Conditions

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The age of the individual with thyroid cancer may affect disability. Generally, older individuals do not recover from this condition as easily as do younger individuals. The type of thyroid cancer, the stage of the disease, the presence of metastasis of the thyroid tumor, and the method of treatment may also influence the length of disability. If radiation or chemotherapy is used, a longer period of disability may be expected.

Duration Trends from Reference Data

DURATION TRENDS

ICD-9-CM: 193

Cases	Mean	Min	Max	No Lost Time	Over 6 Months
1246	45	1	189	< 0.1%	0.5%

Percentile:	5^th	25^th	Median	75^th	95^th
Days:	10	18	33	61	120

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

	ICD-9-CM:
	193 -	Cancer, Thyroid Gland
	198.89 -	Secondary Malignant Neoplasm of Other Specified Sites; Other Specified Sites, Other

Complications

Medullary carcinomas can produce high concentrations of various chemical secretions (serotonin, prostaglandins, calcitonin, histamine, vasoactive peptide) that affect the circulatory system. Typically, an individual will exhibit flushing and diarrhea in response to these factors. Anaplastic cancer grows very rapidly and can lead to difficulty in swallowing (dysphagia), breathing (dyspnea), and speaking (dysphonia). Metastasis into nodes and distant organs occurs in most of cases of anaplastic cancer. Anaplastic cancer tumors may become large enough to obstruct one of the major vessels (superior vena cava) that return blood to the heart.

Source: Medical Disability Advisor

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