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Increase in pediatric thyroid cancers: overdiagnosis or something more?
Key clinical point: Thyroid cancer rates are on the rise in U.S. pediatric patients, and researchers say the trend can’t entirely be explained as overdiagnosis because increases were seen in both small/early-stage and large/late-stage tumors.
Major finding: The rate of pediatric differentiated thyroid cancers (DTCs) increased significantly by 4.43% per year, with significant increases found in both localized and more aggressive tumors, as well as in both smaller and larger tumors.
Study details: Retrospective analysis including 7,296 primary DTCs in children aged 0-19 years from the North American Association of Central Cancer Registries between 1998 and 2013.
Disclosures: The research was supported by the Intramural Research Program of the National Cancer Institute. Dr. Shiels and coauthors made no conflict of interest disclosures related to their report.
Shiels MS et al. Cancer 2019 April 23. doi: 10.1002/cncr.32125.