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Thyroid Cancer Treatment [ The thyroid gland naturally absorbs nearly all the iodine in the blood. Radioactive iodine therapy takes advantage of this to kill cancerous cells without affecting the rest of the body. The Feedback Loop: How Radioactive Iodine Therapy Works: The hypothalamus produces thyrotropin-releasing hormone (TRH), which stimulates the pituitary gland to make thyroid-stimulating hormone (TSH). C CELL A NORMAL THYROID FOLLICULAR CELL 1 The thyroid gland is made up of two main types of cells: thyroid follicular cells and C cells. Thyroid follicular cells are the only cells in the body that absorb iodine, which is used to create thyroid hormones. HYPOTHALAMUS T R E AT M E N T S PITUITARY GLAND TRH 5 4 The hypothalamus senses the level of thyroid hormones in the body and mediates a feedback loop. Low levels of thyroid hormones stimulate the production of TRH and subsequently higher levels of TSH and thyroid hormones. High levels of thyroid hormones inhibit the production of TRH, which lowers TSH, thereby regulating thyroid function. THYROID HORMONES ] TSH MALIGNANT THYROID FOLLICULAR CELL 2 THYROID GLAND THYROID HORMONES TSH is transported via the blood to the thyroid gland. C CELL 3 TSH causes the thyroid gland to produce thyroid hormones needed to regulate the body’s metabolism. B RADIOACTIVE IODINE IODINE C Before treatment, thyroid cancer patients stop taking thyroid hormone pills. This signals the brain to raise the levels of TSH in the blood. In turn, TSH stimulates thyroid follicular cells, including those that are malignant, to more actively absorb the radioactive iodine. Radioactive iodine does not work against medullary thyroid cancer, a more rare type of the disease that develops from the C cells, which do not take up iodine. 66 CURE’S ILLUSTRATED GUIDE TO CANCER ILLUSTRATION BY PAM CURRY ORIGINALLY PUBLISHED IN “THE GOOD CANCER?” CURE SPRING 2009 ©CURE Media Group For patient handouts only