Thyroid Cancer Treatment in Bulgaria

Surgery

For most types of thyroid cancer, surgery is the first treatment. There are several surgical options to treat thyroid cancer. The surgery your doctor may suggest depends on the type of thyroid cancer you have, whether cancer has spread, and the size of cancer. Common surgical options include:

• Thyroidectomy – this operation may involve removing the entire thyroid gland (total thyroidectomy) or most of the thyroid gland (near-total or subtotal thyroidectomy). 

• Thyroid lobectomy – during a thyroid lobectomy, your thyroid glands lobe with the cancerous nodule is removed. 

• Lymph node dissection – when your surgeon removes your thyroid, nearby lymph nodes in the neck may also be removed. 

All types of surgery are performed under general anesthesia. 

Hormone therapy

After surgery, thyroid hormone therapy may be necessary to replace the hormone your thyroid would normally produce. In addition, hormone therapy may slow down the growth of any remaining cancer cells. It works by suppressing your pituitary gland from producing thyroid-stimulating hormone.

Hormone therapy typically involves taking a pill daily, at the same time every day, so that your body receives a consistent supply. 

Radioactive iodine 

Radioactive treatment is usually used after thyroidectomy. This type of treatment is used to kill any healthy thyroid tissue that may remain, along with some areas of thyroid cancer that were not removed during surgery. It is also used to treat thyroid cancer that has spread to other areas of the body or recurs after treatment. Radioactive iodine is given in either pill or liquid form. 

External radiation therapy

This is another type of radiation therapy that uses a machine that aims high-energy beams, such as protons and X-rays, at precise points on your body. It is usually suggested if surgery is not an option or if your cancer still grows even after radioactive iodine treatment or if there is a risk that your cancer will recur.  

Chemotherapy

Chemotherapy uses chemicals to destroy cancer cells. It is typically given intravenously (infusion through a vein). The chemicals can travel all around your body and killing quickly growing cancer cells. This procedure is not common for thyroid cancer. However, it is sometimes recommended for those with anaplastic thyroid cancer.

Targeted drug therapy

This type of treatment focuses on specific abnormalities present within the cancer cells. It can kill cancer cells by blocking these abnormalities. For thyroid cancer, this therapy targets the signals telling cancer cells to grow and divide. 

Palliative care

This is specialized medical care that focuses on providing relief from the symptoms that thyroid cancer may bring. It can be used while you undergo other treatments, such as surgery or radiation therapy.

After any surgical procedure, you may need to stay in the hospital for 3 to 5 days and stay in Bulgaria for about 7 to 14 days. For hormone therapy, radiation therapy, targeted therapy, and chemotherapy, your length of stay depends on how many therapy cycles are required for your case. Your medical team/medical travel team will be able to advise you on this matter.

After surgery, you will need to rest for several weeks after surgery. Most people are able to return to work within 1 to 2 weeks after surgery. For any type of therapy, you may need to rest for a few days until you can resume your normal activities.

Your medical team will give you special instructions to care for yourself at home after each type of treatment. The instructions may include a special diet, exercises, medications to take, restrictions, and wound care (for surgical procedures). 

You may also need to attend regular checkups to ensure that cancer has not come back.

Treatment for thyroid cancer is safe and effective. In many cases, it can cure thyroid cancer completely. However, cancer may still come back even after treatment. 

All types of thyroid cancer treatment carry some potential risks and side effects, including infection, bleeding, and damage to the parathyroid glands, nausea, neck pain, and swelling.

Taking part in a clinical trial of newer treatments can be an alternative to the thyroid cancer treatments mentioned above. A clinical trial is a study used to develop new treatments for cancer.