2019
DOI: 10.1038/s41574-019-0263-x
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Geographic influences in the global rise of thyroid cancer

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Cited by 335 publications
(232 citation statements)
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“…Over the last 50 years, the incidence of thyroid cancer has increased worldwide and the incidence rate is still on the rise. The result of improved diagnostic procedures, an elevated prevalence of individual risk factors (e.g., obesity), and increased exposure to environmental risk factors (e.g., iodine levels), thyroid cancer is the most common form of endocrine malignancy today [16] and is expected to become the fourth leading type of cancer across the globe [17]. Especially poorly differentiated thyroid tumors are aggressive and tend to metastasize.…”
Section: Introductionmentioning
confidence: 99%
“…Over the last 50 years, the incidence of thyroid cancer has increased worldwide and the incidence rate is still on the rise. The result of improved diagnostic procedures, an elevated prevalence of individual risk factors (e.g., obesity), and increased exposure to environmental risk factors (e.g., iodine levels), thyroid cancer is the most common form of endocrine malignancy today [16] and is expected to become the fourth leading type of cancer across the globe [17]. Especially poorly differentiated thyroid tumors are aggressive and tend to metastasize.…”
Section: Introductionmentioning
confidence: 99%
“…PTC accounted for 80% of TCs, and showed a better prognosis. However, patients with PDTC or ATC due to rapid progression and local or distant metastasis frequently led to a worse prognosis [1][2][3][4]. In addition to the characteristics of rapid growth of tumor cells, metastasis has been one of the hallmarks in cancer, leading to tumor dissemination and aggressiveness [26].…”
Section: Discussionmentioning
confidence: 99%
“…The increasing incidence of it is probably due to the differences in diagnostic practices. In addition, environmental exposure to iodine levels and individual risk factors such as obesity also contribute to this cause [1]. Based on the degree of differentiation, thyroid is categorized into three kinds, which include well differentiated thyroid carcinomas such as papillary thyroid carcinoma (PTC) and follicular thyroid carcinoma (FTC), as well as poorly-differentiated thyroid carcinoma (PDTC) and anaplastic thyroid cancer (ATC).…”
Section: Introductionmentioning
confidence: 99%
“…However, it is one of the fastest growing cancer entities worldwide and its incidence in the United States has nearly tripled over the last 30 years from 4.9 to 14.3 per 100,000 people [3][4][5]. Many reasons for this epidemiological development have been discussed [2,[6][7][8]. While some authors also suggest a contributing true increase of incidence [9], the main reason for the increase seems to be a consequence of oversurveillance and overdiagnosis of small differentiated tumours [3].…”
Section: Introductionmentioning
confidence: 99%