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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 2021 Oct 27];8:326. Available from:

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

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

DOI: 10.4103/0189-6725.91659

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