The thyroid cancer epidemic, 2017 perspective. Issue 5 (October 2017)

• Record Type: Journal Article
• Authors: Roman, Benjamin R.; Morris, Luc G.; Davies, Louise
• Is Part Of: Current opinion in endocrinology, diabetes and obesity. Volume 24:Issue 5(2017:Oct.)
• Publication Date: 2017-10
• Subjects: cost-effectiveness -- incidence -- overdiagnosis -- thyroid neoplasm -- thyroid nodules; Endocrinology -- Periodicals; Diabetes -- Periodicals; Obesity -- Periodicals; Diabetes Mellitus -- Periodicals; Endocrine System Diseases -- Periodicals; Endocrine Glands -- Periodicals; Obesity -- Periodicals; Endocrinologie -- Périodiques; Diabète -- Périodiques; Obésité -- Périodiques; Diabetes; Endocrinology; Obesity; Periodicals; 616.4
• DOI: 10.1097/MED.0000000000000359
• Languages: English
• ISSNs: 1752-296X

Abstract

Abstract : Purpose of review: Thyroid cancer incidence and mortality trends have been identified as being consistent with overdiagnosis, and several recent efforts have been made to mitigate this problem. Recent findings: Major guidelines for thyroid nodule management recommend against general biopsy of nodules less than 1 cm in size. Data supporting the safety of active surveillance of low-risk thyroid cancers is now recognized. Tumors previously labeled as encapsulated follicular variant papillary thyroid cancers are now recommended to be called noninvasive follicular thyroid neoplasm with papillary-like nuclear features. Summary: Workup, diagnostic, and management of papillary thyroid cancer are changing rapidly to accommodate the recognition that many thyroid cancers are low risk and do not require aggressive, immediate intervention.