In the article titled “Pediatric Thyroid Cancer Incidence and Mortality Trends in the United States, 1973-2013” by Qian et al,1 the authors provide a comprehensive review of the literature and conduct a national database analysis, further demonstrating a rising incidence of papillary thyroid cancer in the pediatric population. By way of introduction, Qian et al1 note thyroid cancer has been shown to be the most rapidly increasing cancer in the United States, with studies showing a 3% annual increase in incidence, rising from 4.6 per 100 000 person-years in 1974 to 1977 to 14.4 per 100 000 person-years in 2010 to 2013.2 These rates include all ages, and therefore are heavily influenced by, and representative primarily of, adult patients owing to thyroid cancer being considerably more common in adults compared with children.
Rastatter JC, Kazahaya K, Randolph GW. Pediatric Thyroid Cancer—Are My Kids at Increased Risk? JAMA Otolaryngol Head Neck Surg. Published online May 23, 2019. doi:10.1001/jamaoto.2019.0896
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