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LETTER TO THE EDITOR Table of Contents   
Year : 2011  |  Volume : 8  |  Issue : 3  |  Page : 326
Paediatrics thyroid cancer in post nuclear accident crisis: Roles of paediatrics surgery


Wiwanitkit House, Bangkhae, Bangkok, Thailand

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Date of Web Publication11-Jan-2012
 

How to cite this article:
Wiwanitkit V. Paediatrics thyroid cancer in post nuclear accident crisis: Roles of paediatrics surgery. Afr J Paediatr Surg 2011;8:326

How to cite this URL:
Wiwanitkit V. Paediatrics thyroid cancer in post nuclear accident crisis: Roles of paediatrics surgery. Afr J Paediatr Surg [serial online] 2011 [cited 2019 Nov 17];8:326. Available from: http://www.afrjpaedsurg.org/text.asp?2011/8/3/326/91659
Sir,

The 2011 Fukushima nuclear accident crisis is important consideration in medicine at present. The confirmed thyroid carcinogenesis due to exposure to leaked radiation is important thing to be discussed. [1] There is no doubt that preventive action by iodide prophylaxis is helpful; however, the finalized thyroid cancer cases cannot be avoided. Focusing on the epidemiology of the problem, Nikiforov and Gnepp reported that "Post-Chernobyl paediatrics thyroid carcinoma is characterized by a short latency, a higher proportion of tumors arising in young children, and an almost equal sex ratio. [2]" Nevertheless, the reported prognosis is good, but proper management is required. [3] However, the recurrence of the cancer is common. [4] The recommended treatment in this case is the total or near total thyroidectomy. [3],[4] Additional radical intervention on the regional lymph collectors is also required. [5] This is due to confirmed evidence on the more extensive invasion of the tumor in the postnuclear crisis comparing to prenuclear crisis in the Chernobyl scenario. [6]

 
   References Top

1.Wiwanitkit V. Nuclear detonation, thyroid cancer and potassium iodide prophylaxis. Indian J Endocrinol Metab 2011;15:96-8.  Back to cited text no. 1
    
2.Nikiforov Y, Gnepp DR. Pediatric thyroid cancer after the Chernobyl disaster. Pathomorphologic study of 84 cases (1991-1992) from the Republic of Belarus. Cancer 1994;74:748-66.  Back to cited text no. 2
    
3.Feinmesser R, Lubin E, Segal K, Noyek A. Carcinoma of the thyroid in children-a review. J Pediatr Endocrinol Metab 1997;10:561-8.  Back to cited text no. 3
    
4.Spinelli C, Bertocchini A, Antonelli A, Miccoli P. Surgical therapy of the thyroid papillary carcinoma in children: Experience with 56 patients < or =16 years old. J Pediatr Surg 2004;39:1500-5.  Back to cited text no. 4
    
5.Komissarenko IV, Rybakov SI, Kovalenko AE. Surgical treatment of thyroid cancer. Klin Khir 1993;12:40-3.  Back to cited text no. 5
    
6.Komissarenko IV, Rybakova SI, Kovalenko AE, Lysenko AG, Demchenko NP, Kvacheniuk AN. Current treatment approaches and prospects in thyroid cancer. Lik Sprava 1995;(9-12):23-6.  Back to cited text no. 6
    

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Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok 10160
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.91659

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