Journal of the Korean Medical Association (대한의사협회지)

Korean Medical Association (대한의사협회)
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The Korean guideline for thyroid cancer screening

갑상선암 검진 권고안

  • Yi, Ka Hee (Department of Internal Medicine, Seoul National University Boramae Medical Center) ;
  • Kim, Soo Young (Department of Family Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Do Hoon (Department of Family Medicine, Korea University Ansan Hospital, Korea University College of Medicine) ;
  • Kim, Sun Wook (Division of Endocrinology & Metabolism, Department of Medicine, Thyroid Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Na, Dong Gyu (Department of Radiology, Human Medical Imaging & Intervention Center) ;
  • Lee, You Jin (Department of Internal Medicine, Center for Thyroid Cancer, National Cancer Center) ;
  • Chung, Ki Wook (Division of Breast and Endocrine Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choi, Kui Son (Graduate School of Cancer Science and Policy, National Cancer Center) ;
  • Koh, Yoon Woo (Department of Otorhinolaryngology Head and Neck Surgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Won Bae (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Nam, Kee-Hyun (Department of Surgery, Yonsei University College of Medicine) ;
  • Baek, Seung-Kuk (Department of Otorhinolaryngology Head and Neck Surgery, Korea University College of Medicine) ;
  • Baek, Jung Hwan (Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Soon Young (Department of Preventive Medicine and Public Health, Ajou University School of Medicine) ;
  • Jung, Yuh Seok (Specific Organs Cancer Branch, Center for Thyroid Cancer, Research Institute & Hospital, National Cancer Center) ;
  • Cho, Jung Jin (Department of Family Medicine, Hallym University Dontan Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Ju, Young-Su (Department of Occupational & Environmental Medicine, Hallym University Sacred Heart Hospital) ;
  • Dang, Ji Yeon (National Cancer Control Institute, National Cancer Center) ;
  • Kim, Yeol (National Cancer Control Institute, National Cancer Center) ;
  • Lee, Won-Chul (Department of Preventive Medicine, The Catholic University of Korea College of Medicine)
  • 이가희 (서울특별시 보라매병원 내분비내과) ;
  • 김수영 (한림대학교 의과대학 강동성심병원 가정의학과) ;
  • 김도훈 (고려대학교 안산병원 가정의학과) ;
  • 김선욱 (성균관대학교 의과대학 삼성서울병원 내분비대사내과 및 갑상선센터) ;
  • 나동규 (휴먼영상의학센터 영상의학과) ;
  • 이유진 (국립암센터 갑상선암센터 내분비내과) ;
  • 정기욱 (울산대학교 의과대학 서울아산병원 유방내분비외과) ;
  • 최귀선 (국립암센터 국제암대학원대학교) ;
  • 고윤우 (연세대학교 의과대학 신촌세브란스병원 이비인후과) ;
  • 김원배 (울산대학교 의과대학 서울아산병원 내과) ;
  • 남기현 (연세대학교 의과대학 외과학교실) ;
  • 백승국 (고려대학교 의과대학 이비인후과교실) ;
  • 백정환 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 이순영 (아주대학교 의과대학 예방의학교실) ;
  • 정유석 (국립암센터 갑상선암센터 특수암연구과) ;
  • 조정진 (한림대학교 의과대학 동탄성심병원 가정의학과) ;
  • 주영수 (한림대학교성심병원 직업환경의학과) ;
  • 당지연 (국립암센터 국가암관리사업본부 암검진사업과) ;
  • 김열 (국립암센터 국가암관리사업본부 암검진사업과) ;
  • 이원철 (가톨릭대학교 의과대학 예방의학교실)
  • Received : 2015.02.28
  • Accepted : 2015.03.14
  • Published : 2015.04.10
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Abstract

Thyroid cancer is the most common malignancy in Korea; in 2012, about 44,000 new cases (19.6% of all malignancies) were registered and the estimated age-standardized incidence rate of thyroid cancer was 73.6 per 100,000 (17.3 and 88.6 per 100,000 in men and women, respectively). Despite the steep increase in its incidence, the age-standardized mortality rate of thyroid cancer has remained stable and 10-year relative survival rate is 99.2%. Increased detection using high-resolution ultrasonography may have contributed to the increased incidence of thyroid cancer if not all. However, the effectiveness of thyroid cancer screening using ultrasonography has not been fully evaluated as to whether screening and early diagnosis could decrease the morbidity or mortality of thyroid cancer. A multidisciplinary expert committee for developing a guideline for thyroid cancer screening was organized and established a recommendation for thyroid cancer screening using ultrasonography in Korea based on scientific evidence for the first time. In conclusion, the current evidence is insufficient to assess the balance of benefits and harms of the thyroid cancer screening by ultrasonography and the recommendation is that thyroid ultrasonography is not routinely recommended for healthy subjects.

Keywords

References

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