Thyroid Cancer Care

Comprehensive, Team-Based Care for Thyroid Cancer

At Exeter Hospital, we provide expert, coordinated care for patients diagnosed with thyroid cancer. Our multidisciplinary team — including endocrinologists, surgeons, medical oncologists, radiation oncologists, and supportive care specialists — works together to create individualized treatment plans tailored to each patient's specific diagnosis and needs.

Through our partnership with Beth Israel Deaconess Medical Center (BIDMC), patients also have access to advanced diagnostic tools, minimally invasive surgical options, and the latest treatment research — all delivered close to home.

Thyroid Cancer Signs, Symptoms & Prognosis

Most patients with thyroid cancer first notice a thyroid nodule and have no other symptoms. Some may experience hoarseness, difficulty swallowing, neck pain, or swelling on the side of the neck.

Fortunately, most thyroid cancers have an excellent prognosis. Treatment typically includes surgery and, in some cases, radioactive iodine. Although outcomes are generally very good, thyroid cancer can return in up to 30% of patients, sometimes years after initial treatment. Regular, lifelong follow-up is an important part of care.

Screening & Diagnostic Tests

Thyroid cancer is most often detected with an ultrasound of the neck and confirmed with a fine needle aspiration (FNA) biopsy. Based on your symptoms, imaging findings, and risk factors, your doctor may recommend one or more of the following tests:

• Thyroid ultrasound
• Blood tests
• Fine needle aspiration (FNA) biopsy
• CT scan or ultrasound to evaluate lymph nodes in the neck

Depending on your diagnosis and personal or family risk factors, your doctor may also recommend genetic testing to help guide your care.

Personalized Treatment Options

Treatment plans are customized based on the type and stage of thyroid cancer and may include:

• Surgery, such as thyroidectomy or lymph node removal
• Radioactive iodine therapy to target remaining thyroid tissue
• Thyroid hormone therapy to regulate hormone levels and prevent recurrence
• External beam radiation or systemic therapies when indicated
• Supportive care to manage side effects and maintain quality of life

Thyroid Cancer Surgery

If surgery is recommended, your endocrine surgeon may perform one of the following procedures:

• Adrenalectomy: Removal of one or both adrenal glands
• Parathyroidectomy: Removal of one or more of the parathyroid glands
• Thyroid lobectomy: Removal of part of the thyroid gland
• Thyroidectomy: Removal of the entire thyroid gland

These procedures are typically performed through an incision in the neck. Whenever possible, surgeons use minimally invasive techniques, which involve smaller incisions and offer faster healing, less downtime, and minimal scarring.

Support for Patients & Families

We understand that a thyroid cancer diagnosis affects more than your physical health. Our comprehensive support services help patients and families navigate every step of the journey, including:

• Nurse navigation to guide you through diagnosis, treatment, and follow-up
• Genetic counseling and testing when appropriate
• Survivorship programs to monitor long-term health after treatment
• Emotional, nutritional, and rehabilitative resources