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Neck Early Stage Thyroid Cancer Symptoms : Early Signs Of Medullary Thyroid Cancer And Common Symptoms : A lump or nodule in the neck difficulty swallowing food or pills pressure and shortness of breath when you lie down on your back . In many cases, the first sign of papillary thyroid cancer is a painless lump on the thyroid in the front of the neck. The most common symptom of cancer of the thyroid is a painless lump or swelling that develops in the neck. The first sign of it is usually the appearance of a painless lump in the front of a person's neck. A lump or nodule in the neck difficulty swallowing food or pills pressure and shortness of breath when you lie down on your back If the cancer spreads, it can cause symptoms that include: A lump which appears on the neck could be a warning sign. Swelling in the neck though not all enlargement of the neck area is cancerous (such as goiter, a symptom of hypothyroidism), an ultrasound of the thyroid can confirm if a ...