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A SOMETIMES-SILENT CANCER Like Vergara, many people in the early stages of thyroid cancer have no symptoms. In fact, Tuttle says, the cancer is often detected unexpectedly when testing for other health conditions. Those with more advanced cases may experience clearer signs of potential trouble: hoarseness, difficulty swallowing or the emergence of nodules (solid or fluid-filled lumps that, although common, are cancerous less than 10 percent of the time). In either scenario, a doctor will feel around your neck for abnormalities before deciding whether to order diagnostic tests such as blood work or an ultrasound. That's how an otherwise healthy Vergara was first diagnosed. She took her son to an endocrinologist, concerned about a family history of diabetes. The doctor checked her son and then examined Vergara, too; he found a lump in her neck. "It's not like colon cancer or breast cancer, where there are certain screenings," says Tuttle, who has treated more than 2,000 patients with thyroid cancer. The most common and often slowgrowing forms are known as papillary and follicular thyroid cancer; combined, they account for about 90 percent of cases. Other variations, including Sofia Vergara married husband Joe Manganiello, of Magic Mike fame, in 2015. medullary and anaplastic, are much rarer but typically more aggressive and tougher to treat. Total or partial surgical removal of the thyroid is usually quick. Most folks, Tuttle says, are back to work within a few days. Some, including Vergara, have to ingest radioactive iodine via tablets to fully eradicate the cancer. Others with more aggressive tumors may need chemotherapy. LIFE WITHOUT A THYROID The complete loss of one's thyroid, meanwhile, leaves a person hypothyroid-in other words, unable to make enough thyroid hormone for the 7 THINGS 1 She got her start in a Pepsi commercial at age 17 and soon after made her mark as a television host on the Univision network. 2 She has enjoyed a four-year streak of being the highest-earning TV actress; in 2015, she shared the honor with The Big Bang Theory's Kaley Cuoco. Each made $28.5 million. 12 W IN TER 2016 body to work properly. That requires a lifetime of daily medicine to simulate the absent function. "We give the body the same hormone that the thyroid was producing," says Antonio Bianco, MD, president of the American Thyroid Association. "The body, in fact, does not know the difference." Finding the proper dosage may require some tweaks, though. Vergara, for one, says she "religiously" sees her doctor and has her thyroid levels checked every three to six months. This explains why, when she became a paid spokeswoman for a thyroid medication in 2013, Vergara stressed the YOU MIGHT NOT KNOW ABOUT SOFIA VERGARA 3 She used to watch Spanish-dubbed 5 She loves to read. Vergara plows through episodes of the sitcom Married... with Children, which starred her future Modern Family "husband" Jay Pritchett (Ed O'Neill). 4 She relies on custom couture to offer extra support for her voluptuous frame and says she might one day seek breastreduction surgery. several books each month, often reading for hours at a time. 6 She's good friends with another famous Colombian: pop star Shakira. 7 She became a U.S. citizen in 2014. Vergara earned a perfect score on the 100-question test and called the process "very emotional."

Table of Contents for the Digital Edition of Vim & Vigor - Winter 2016 - Gwinnett Medical Center

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Vim & Vigor - Winter 2016 - Gwinnett Medical Center - Contents
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