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Thyroid Cancer

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The thyroid is a gland at the base of the throat. As an endocrine gland, the thyroid makes and secretes hormones that help control heart rate, blood pressure, body temperature, and weight. Thyroid cancer survival rates can be high if diagnosed early. Accurately diagnosing the disease and personalizing treatment is essential to long-term success and fewer side effects.

To achieve the best outcomes possible, Sylvester Comprehensive Cancer Center uses a multidisciplinary approach. An integrated team of endocrinologists, surgical oncologists, medical and radiation oncologists, radiologists, and pathologists will determine the exact nature of your thyroid cancer. We will then recommend a treatment plan taking advantage of the latest techniques to help you beat cancer.
 
From advanced imaging technologies, minimally invasive surgery, and genetic testing to hormone management therapies and palliative care to decrease symptoms and stresses — we’re here for you. 

Staging is the process of determining how much cancer is in the body, where it's located, and how severe it is, based on both the original (primary) tumor and any cancer that's spread (metastasized) to other areas. The staging scale typically starts at I (least risk) and can rise to IV (severe risk): 

  • Anaplastic thyroid cancer: considered stage IV because of its aggressiveness and because it has usually spread when it's discovered.

  • Differentiated thyroid cancer: ranges from stages I-IV, depending on the extent of the disease and how old you are when you're diagnosed 

  • Medullary thyroid cancer: stages range from I-IV, depending on the size of the tumor and if it’s spread to other areas of your body

Why Choose Sylvester Comprehensive Cancer Cancer?

Only center in South Florida with a specialty endocrine testing center. Our specialized testing centers improves diagnosis accuracy, leading to more precise treatments and better results. Located at the University of Miami Miller School of Medicine, the center is staffed by specialized nurses and technical assistants who perform complex hormone tests.

Advanced radiation oncology tools. Sylvester is one of only five medical centers in the country with ViewRay™ — MRI-guided radiation therapy. Our RapidArc® radiotherapy system delivers intensity modulated external radiation therapy (IMRT). These tools lead to more efficient and effective treatments, shorter treatment times, pinpoint accuracy in tumor targeting, and less damage to surrounding healthy tissue.

More cancer clinical trials than any other South Florida hospital. If appropriate for your cancer and stage, our clinical trials provide you with easy access to the newest ways to treat and potentially cure your cancer.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments

  • Hormone Therapy

    If recommended, taking daily thyroid hormone pills can serve two purposes: 

    • Maintain your body’s normal metabolism by replacing missing thyroid hormones

    • Stop cancer cells from growing by lowering thyroid-stimulating hormone (TSH) levels

  • Intensity Modulated Radiation Therapy (IMRT) 

    This advanced form of external-beam radiation therapy allows radiation specialists to shape, or conform, radiation doses to the exact shape of your tumor. It's ideal for irregularly shaped thyroid tumors. Radiation specialists can control the amount of radiation in each beam targeted at the tumor. The control and flexibility of IMRT help minimize the amount of radiation to surrounding healthy tissue. IMRT may be an option if you can't undergo surgery and your cancer continues to grow after radioactive iodine treatment. It's also used to slow the growth of cancer that has spread to the bones.

  • Radioactive Iodine Treatment 

    You receive radioactive iodine treatment as a pill or liquid you swallow. The radioactive iodine is absorbed by thyroid cells and thyroid cancer cells primarily, so there's a lower risk of it harming other cells in your body. This treatment may be used after thyroidectomy for differentiated thyroid cancers to destroy microscopic areas of thyroid cancer that weren't removed during surgery. It's not used to treat medullary or anaplastic thyroid cancers. It also can be used to treat cancers that recur after treatment, or that have spread to other areas of the body.

    Protocol for this treatment includes:

    • Following a low-iodine diet before and during treatment. By following a low-iodine diet for about six weeks, we can be sure that body scans after treatment will show only iodine activity from the treatment and not from iodine-rich foods you eat.

    • Two intramuscular injections of recombinant thyroid-stimulating hormone (TSH) to prepare your body for the treatment.

    During radioactive therapy, you must take special precautions for about a week after this treatment to protect the health of others. You’ll be asked to be in radioactive quarantine, which may include a day or more at the hospital and then a week at home. Also, you'll need to avoid close contact with other people (particularly children and pregnant women) and avoid sharing bedding, food preparation or bathroom facilities until the radiation is cleared from your body.

Tests

  • Biopsy 

    A biopsy is a tissue sample that’s examined for cancer cells. If cancer is found, a tumor genetic mutation analysis may be done to look for specific molecular features in the tumor. This helps us to create the most precise treatment recommendation.

  • Ultrasound Exam of the Neck 

    Ultrasound uses high-energy sound waves, which bounce off internal tissues or organs to form a picture (sonogram).

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry First Health PPO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Seasons Hospice
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care