Stage III: The Spread Begins
Breaching the Boundaries
In the progression from stage II to stage III thyroid cancer, the disease begins to reveal a more aggressive side. Regardless of the tumor’s size at this point, the cancer now extends beyond the thyroid gland, reaching local areas such as muscles in the neck or nearby lymph nodes. This progression marks a significant turning point in the disease, indicating a more advanced condition and a crucial juncture in its management.
The Onset of Pronounced Symptoms
The symptoms of stage III thyroid cancer become more pronounced. They go beyond the subtle signs of the previous stages. As the tumor extends its reach, it begins to impact surrounding structures, which can cause more noticeable discomfort or changes.
Patients at this stage may experience persistent coughing and voice changes. Difficulty swallowing or breathing may increase as the tumor expands. Individuals may also notice enlarged lymph nodes in the neck. Any such changes necessitate immediate consultation with a healthcare professional. It’s essential to recognize these symptoms early and initiate the appropriate course of treatment.
Treatment Escalation
With the progression to stage III, treatment strategies must be adjusted accordingly. The treatment plan for this stage tends to be more comprehensive, beginning with surgery. The primary goal of the surgical intervention at this stage is to remove as much of the tumor as possible without causing significant damage to nearby structures.
Post-surgical treatment often involves radioactive iodine therapy or external radiation therapy. Radioactive iodine therapy works to destroy any thyroid cancer cells that might remain after surgery. External radiation therapy can be beneficial, particularly if the cancer has spread to tissues outside the thyroid gland or if it’s a form of thyroid cancer that doesn’t take up radioactive iodine. In some cases, targeted therapy might be employed to inhibit the growth of cancer cells. (3)