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Comment & Response
October 17, 2019

Harms of Pediatric Thyroid Cancer Overdiagnosis—Reply

Author Affiliations
  • 1Department of Otolaryngology–Head & Neck Surgery, Stanford University School of Medicine, Stanford, California
JAMA Otolaryngol Head Neck Surg. 2020;146(1):84-85. doi:10.1001/jamaoto.2019.3054

In Reply In our study,1 we reported that the incidence rate of pediatric thyroid cancer increased more rapidly during 2006 to 2013 than during 1973 to 2006. We proposed that this is likely owing to a combination of enhanced detection and a concurrent true increase in pediatric thyroid cancer incidence based on increased incidences of large tumors and regionally advanced disease. We have read the comments of Murakami et al and wish to address their concerns regarding the interpretation of the later finding.

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