Thyroid cancer treatment in Israel

Dr. Jeffrey WeinbergerLeading specialist of the Otolaryngology and Head and Neck Surgery Department

More than 90% of patients suffering from papillary carcinoma of the thyroid gland are completely cured at the clinic.

In recent years, the number of patients who had to have their thyroid gland completely removed because of cancer has halved in the Hadassah Clinic, from 61% to 31%.

The vast majority of operations in the department are performed using gentle techniques of endoscopic surgery. In 2019, the clinic began using an innovative method of thyroid removal without an incision in the neck; the surgery is performed by internationally renowned specialist Professor Haggi Mazeh, Head of the General Surgery Department.

The clinic’s specialists use the latest generation of medical technology, such as innovative radiotherapy using alpha particles and the latest Ethos radiotherapy system equipped with artificial intelligence.

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Thyroid cancer diagnostics in Israel

DISCOVERY MI PET-CT

The Hadassah Clinic provides top-notch diagnostic services for thyroid cancer patients using state-of-the-art technologies and equipment.

Ultrasound is the most commonly used diagnostic technique for thyroid cancer. It is a non-invasive procedure that uses high-frequency sound waves to produce images of the thyroid gland. Ultrasound can help doctors to determine the size and shape of the thyroid gland and detect any abnormal growths or nodules. It is a safe and painless procedure that can be performed in the clinic without the need for anesthesia.

CT scan is another diagnostic technique used at the Hadassah Clinic to diagnose thyroid cancer. It uses X-rays to produce detailed images of the internal structures of the body. CT scan is particularly useful in detecting the spread of cancer beyond the thyroid gland to nearby lymph nodes or other organs. The procedure is painless and takes only a few minutes to complete.

MRI is also used to diagnose thyroid cancer at the Hadassah Clinic. It provides a strong magnetic field and radio waves to produce detailed images of the internal structures of the body. MRI is particularly useful in detecting the spread of cancer beyond the thyroid gland to nearby organs such as the lungs, liver, and bones. The procedure is painless but may take longer than other diagnostic techniques such as CT scan.

PET-CT is particularly effective in detecting the spread of cancer to distant organs such as the bones, liver, and lungs. The procedure is painless but may require the patient to fast for several hours before the scan.

The Hadassah Clinic uses an innovative machine that was purchased at the beginning of 2018 and is incomparable in Israel in terms of speed and accuracy.

Scintigraphy is another diagnostic technique used at the Hadassah Clinic to diagnose thyroid cancer. It is a nuclear medicine imaging technique that uses a small amount of radioactive material to produce images of the thyroid gland. Scintigraphy is particularly useful in detecting the spread of cancer to nearby lymph nodes or other organs. The procedure is painless and takes only a few minutes to complete.

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The methods of thyroid cancer treatment in Israel

Thyroid cancer is a type of cancer that occurs in the thyroid gland, which is located in the neck and produces hormones that regulate metabolism. There are several types of thyroid cancer, including papillary, follicular, medullary, and anaplastic thyroid cancer.

At the Hadassah Clinic, the treatment approach for thyroid cancer will depend on the stage and type of the cancer, as well as the patient’s overall health and preferences. Treatment may involve a combination of chemotherapy, targeted therapy, and radiotherapy, as well as surgery to remove the thyroid gland (thyroidectomy). Thyroid hormone replacement therapy may also be needed after thyroidectomy to replace the hormones that the thyroid gland would normally produce.

It is important for patients with thyroid cancer to discuss their treatment options and potential side effects with their healthcare team. Treatment for thyroid cancer can be complex, and a multidisciplinary team approach that includes endocrinologists, oncologists, surgeons, and other healthcare professionals may be needed to provide comprehensive care. Hadassah Clinic has a team of experienced healthcare professionals who specialize in the treatment of thyroid cancer, and can provide personalized care and support to patients throughout their treatment journey.

Organ-preserving surgery

Professor Haggi Mazeh, Head of the General Surgery Department

The treatment options depend on the size and stage of the cancer. One of the treatment options for thyroid cancer is organ-preserving surgery, also known as partial thyroidectomy. Organ-preserving surgery is a type of surgery where only part of the thyroid gland is removed. The goal of this surgery is to remove the cancerous tissue while preserving as much of the healthy thyroid tissue as possible. This type of surgery is often used for small tumors or for tumors that are only in one lobe of the thyroid gland.

One of the benefits of organ-preserving surgery is that it can help to minimize the risk of complications that can occur with a total thyroidectomy. These complications can include damage to the voice box or parathyroid glands, which can affect the patient’s ability to speak and regulate their calcium levels. By preserving as much of the healthy thyroid tissue as possible, organ-preserving surgery can help to reduce the risk of these complications.

Organ-preserving surgery for the treatment of thyroid cancer is performed using minimally invasive techniques. This can include robotic surgery or endoscopic surgery, which involve making small incisions in the neck rather than a large incision. These minimally invasive techniques can help to reduce the amount of pain and scarring associated with the surgery and can also shorten the recovery time.

Radiotherapy

Radiotherapy is a type of cancer treatment that uses high-energy radiation to kill cancer cells. It may be used to treat thyroid cancer that has not spread beyond the thyroid gland, as well as recurrent thyroid cancer that has not responded to other treatments. Radiotherapy may be delivered externally (external beam radiotherapy) or internally (brachytherapy), and may be administered over several weeks.

Intraoperative radiotherapy (IORT)

IORT is a specialized form of radiotherapy that is used to treat certain types of cancer, including thyroid cancer. At the Hadassah Clinic in Israel, IORT therapy for thyroid cancer is available as a treatment option. This approach involves delivering a high dose of radiation directly to the site of the tumor during surgery, which can help to minimize damage to surrounding healthy tissues. IORT therapy for thyroid cancer at Hadassah Clinic is performed by a team of experienced radiologists and surgeons who work together to develop personalized treatment plans for each patient.

Radioactive iodine

Most often in Israeli practice, radioactive iodine is used after an operation to resect the neoplasm has been performed. The task of therapy with radioactive iodine – “finish off” the remaining cancer cells, eliminate or suppress relapse, destroy metastases. It is noteworthy that radioactive iodine is not dangerous to other, healthy organs and cells of the body, because it is aimed exclusively at the pathology.


In recent years, the number of the Hadassah Clinic patients who needed to be treated with radioactive iodine has decreased by 23%(From a study by Dr. Nir Hirschhorn and Professor Haggi Mazeh, published in JAMA Head and Neck 2018, May 1)


Chemotherapy

Chemotherapy is a systemic treatment that uses drugs to kill cancer cells throughout the body. It can be used to treat advanced thyroid cancer that has spread to other parts of the body, as well as recurrent thyroid cancer that has not responded to other treatments. Chemotherapy is usually given intravenously (through a vein) or orally (by mouth), and may be administered in cycles.

Targeted therapy

Targeted therapy is a type of cancer treatment that targets specific molecules or pathways involved in the growth and spread of cancer cells. It may be used in combination with other treatments, such as chemotherapy or radiotherapy. Targeted therapy drugs may be given orally or intravenously, and may be administered on a continuous or intermittent schedule.

How to come to the Hadassah Clinic for medical treatment?

In order to come to the Hadassah Clinic in Jerusalem, Israel for medical treatment, first contact Hadassah University Hospital staff to discuss your medical condition and treatment options.

Once you have received confirmation that the clinic can provide the necessary medical care, you should obtain a medical visa from the Israeli embassy in your country and make travel arrangements. Finally, ensure that you have all necessary medical records and documents before you depart for the clinic.

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