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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Qian ZJ, Megwalu UC. Harms of Pediatric Thyroid Cancer Overdiagnosis—Reply. JAMA Otolaryngol Head Neck Surg. 2020;146(1):84–85. doi:10.1001/jamaoto.2019.3054
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