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首页> 外文期刊>Environmental Science & Technology >Response to Comment on 'Thyroid Cancer 'Epidemic': A Socio-Environmental Health Problem Needs Collaborative Efforts'
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Response to Comment on 'Thyroid Cancer 'Epidemic': A Socio-Environmental Health Problem Needs Collaborative Efforts'

机译：对“甲状腺癌”流行病评论的回应：社会环境健康问题需要合作努力'

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Fujitani et al. state that the incidence of thyroid cancer has stabilized in the United States since 2013, following implementation of the 2009 American Thyroid Association (ATA) guidelines. They conclude that overdiagnosis accounts for this rapid change in thyroid cancer incidence. We agree that advances in clinical diagnostic practices affect thyroid cancer incidence. However, there are some controversies surrounding the changing trends in the incidence of thyroid cancer, and multiple factors may account for the conflicting reports of trends in thyroid cancer incidence and mortality. The dramatic increase in thyroid cancer is certainly related to better detection by ultrasonography and other imagine techniques, as well as wider and easier access to healthcare.5,6 However, enhanced detection does not fully explain the rising incidence of large cancers with clinically significant pathological features (tumor size greater than 1 cm), on the basis of the Surveillance, Epidemiology, and End Results (SEER) data.7,8 Population-based retrospective studies support that there is a true increase in thyroid cancer incidence.7,8 Simply assuming that overdiagnosis is the substantial factor behind the increase does not help to explore and understand the etiology of thyroid cancer. Therefore, increased attention and priority should be given to large-scale, prospective epidemiological studies for monitoring trends in thyroid cancer incidence and mortality post-2009 ATA guidelines. It will be of great benefit for demystifying thyroid problems and identifying the key risk factors at the population level.
机译：藤烷等。结果，自2013年以来，甲状腺癌的发生率稳定在美国，遵循2009年美国甲状腺协会（ATA）指导方针。他们得出结论，过度输入核算甲状腺癌症发病率的这种快速变化。我们同意临床诊断实践的进步会影响甲状腺癌症发病率。然而，甲状腺癌发生率的变化趋势存在一些争论，多种因素可能考虑甲状腺癌症发病率和死亡率趋势的矛盾报告。甲状腺癌的显着增加肯定是以超声检查和其他想象的技术检测，以及更广泛，更容易获得医疗保健.5,6，增强的检测没有充分解释大型癌症的发病率上升，临床显着的病理特征（肿瘤大于1厘米），在监测，流行病学和最终结果（SEER）数据的基础上，基于人口的回顾性研究支持，甲状腺癌症发生率真正增加.7,8仅仅假设过度诊断是增加背后的重大因素没有帮助探索和理解甲状腺癌的病因。因此，应提高关注和优先考虑的大规模前瞻性流行病学研究，用于监测甲状腺癌发病率和死亡率后的趋势和2009年的死亡率。将甲状腺问题脱脂并确定人口水平的关键危险因素将是很大的好处。

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