| If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case. Regarding diagnosis:
- Does individual have a family history of thyroid cancer?
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Was individual repeatedly exposed to external radiation?
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Does individual have low intake of dietary iodide, resulting in goiter?
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Is a single, firm, nontender lump (nodule) present at the base of the neck?
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Does individual complain of hoarseness, loss of voice, or difficulty swallowing or breathing? Does individual report respiratory difficulties, cough, blood in the sputum (hemoptysis), chest pain, or bone pain, suggesting metastasis?
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Was the thyroid visualized on a gamma camera after injecting or swallowing a radioisotope? Was ultrasound done?
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Was a tissue sample (biopsy) from the thyroid obtained to confirm the diagnosis?
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Was a diagnosis of papillary, follicular, medullary, or anaplastic thyroid carcinoma confirmed?
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Has the thyroid cancer spread (metastasized) into other organ systems?
Regarding treatment:
- Was surgery done to remove part or all of the thyroid gland (partial or total thyroidectomy, respectively)?
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Did the cancer spread to the lymph nodes? If so, were they removed (lymphadenectomy)?
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Did individual receive radioactive iodine to destroy any residual cancer?
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Will individual require radiation treatments at 1 to 5 year intervals?
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Does individual require lifetime thyroid hormone (thyroxin and calcitonin) supplements?
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Would individual benefit from chemotherapy?
Regarding prognosis:
- What type of thyroid cancer does individual have?
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Did treatment begin at an early stage of the cancer?
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Is this a recurrence?
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Has the cancer spread (metastasized)?
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Has individual developed flushing and diarrhea due to high concentrations of secretions, such as serotonin, prostaglandins, calcitonin, histamine, and vasoactive peptide that affect the circulatory system?
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If individual has anaplastic cancer, what is the expected survival time?
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Source: Medical Disability Advisor