J Korean Thyroid Assoc.  2014 May;7(1):1-6.

A Refutation against Unfounded Reports on Thyroid Cancer

• Chung JH

Abstract

The incidence of thyroid cancer has been increasing in Korea as well as in many countries. This is mainly due to the early detection of papillary thyroid microcarcinoma less than 1 cm in diameter with a high-resolution ultrasonography. Because of the unique Korean medical environment, its incidence is abruptly increasing in Korea. Many experts have emphasized that the early detection cannot completely explain the observed increase in thyroid cancer. Therefore, other possible explanations should be explored. Unnecessary diagnosis and excessive treatment should be avoided. If unreasonable regulations are applied, they could do more harm than good. In terms of screening efficacy, the National Evidence-based Healthcare Collaborating Agency in conjunction with Korean Thyroid Association concluded in 2013 that evidence was insufficient to recommend for or against ultrasonography screening for thyroid cancer. If a patient incidentally finds a tumor on the thyroid, a physician should manage the patient according to the guidelines. The guidelines should be developed based on evidence-based medical decisions for patients, not on economic efficacy.

Keyword

Thyroid cancer; Incidence; Papillary thyroid carcinoma; Ultrasonography; Screening; Guideline

MeSH Terms

Delivery of Health Care
Diagnosis
Humans
Incidence
Korea
Mass Screening
Social Control, Formal
Thyroid Gland
Thyroid Neoplasms*
Ultrasonography

Figure

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  Fig. 1. Analytical screen for glottal input power & glottal efficiency (Aerophone II).

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  Fig. 2. Comparison of preoperative and postoperative results of glottal input power.

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  Fig. 3. Comparison of preoperative and postoperative results of glottal efficiency.

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  Fig. 4. Comparison of preoperative and postoperative results of MPT.

Reference

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