대한갑상선학회의 역사와 갑상선암진단과 치료에 대한 최근 논쟁에 관한 고찰 = History of Korean Thyroid Association and Recent Debates on Diagnosis and Treatment of Thyroid Cancer in Korea

다국어 초록 (Multilingual Abstract)

It is an undeniable fact that the establishment of the Korean Thyroid Association (KTA) in 2008 will reinforce growing thyroidology in Korea. It is worthwhile to recall the histories behind the foundation of the KTA and to remember the efforts of the founders. Since 2005, there has been a massive increase in thyroid cancer incidence in Korea, which is much higher than in other countries. A large majority of cases fall into papillary microcarcinoma (less than 1 cm). Much debate has been sparked since early 2014 through mass media as well as among medical professionals on the issues of early screening and detection of small thyroid cancer, overdiagnosis and overtreatment of thyroid cancer. Based on the author's past 30 years of clinical practice in endocrinology with a focus on thyroid disease, this article presents my opinion on such debate and provides thoughts on future directions. This article only represents the author’s personal, possibly limited, perspective thought. For this reason, readers are recommended to use their own judgement in weighing the opinions.

참고문헌 (Reference)

1 대한내분비학회, "우연히 발견된 갑상선 결절의 접근" 대한내분비학회 25 (25): 98-100, 2010

2 이가희, "대한갑상선학회 갑상선결절 및 암 진료 권고안 개정안" 대한내분비학회 25 (25): 270-297, 2010

3 김원배, "갑상선결절 및 암 진료 권고안" 대한내분비학회 22 (22): 157-187, 2007

4 Roh JL, "Total thyroidectomy plus neck dissection in differentiated papillary thyroid carcinoma patients:pattern of nodal metastasis, morbidity, recurrence, and postoperative levels of serum parathyroid hormone" 245 (245): 604-610, 2007

5 Kweon SS, "Thyroid cancer is the most common cancer in women, based on the data from population-based cancer registries, South Korea" 43 (43): 1039-1046, 2013

6 Schlumberger M, "Strategies of radioiodine ablation in patients with low-risk thyroid cancer" 366 (366): 1663-1673, 2012

7 Kim EK, "State of the art thyroid sonography" GABON Medical Book Service 2006

8 Sywak M, "Routine ipsilateral level VI lymphadenectomy reduces postoperative thyroglobulin levels in papillary thyroid cancer" 140 (140): 1000-1007, 2006

9 Tuttle RM, "Risk-adapted management of thyroid cancer" 14 (14): 764-774, 2008

10 Roh JL, "Prevention of postoperative hypocalcemia with routine oral calcium and vitamin D supplements in patients with differentiated papillary thyroid carcinoma undergoing total thyroidectomy plus central neck dissection" 115 (115): 251-258, 2009

11 Ito Y, "Patient age is significantly related to the progression of papillary microcarcinoma of the thyroid under observation" 24 (24): 27-34, 2014

12 Harach HR, "Occult papillary carcinoma of the thyroid. A "normal" finding in Finland. A systematic autopsy study" 56 (56): 531-538, 1985

13 Martinez-Tello FJ, "Occult carcinoma of the thyroid. A systematic autopsy study from Spain of two series performed with two different methods" 71 (71): 4022-4029, 1993

14 Kim EK, "New sonographic criteria for recommending fine-needle aspiration biopsy of nonpalpable solid nodules of the thyroid" 178 (178): 687-691, 2002

15 National Comprehensive Cancer Network, "NCCN Clinical Practice Guidelines in Oncology: Thyroid Carcinoma. V.2.2007"

16 Park JS, "My travels in thyroid cancer" 2 (2): 71-86, 2009

17 Henry JF, "Morbidity of prophylactic lymph node dissection in the central neck area in patients with papillary thyroid carcinoma" 383 (383): 167-169, 1998

18 Cooper DS, "Management guidelines for patients with thyroid nodules and differentiated thyroid cancer" 16 (16): 109-142, 2006

19 Brito JP, "Low risk papillary thyroid cancer" 348 : g3045-, 2014

20 Rosario PW, "Is empirical radioactive iodine therapy still a valid approach to patients with thyroid cancer and elevated thyroglobulin?" 24 (24): 533-536, 2014

21 Koh CS, "Immunofluorescent findings in Graves’ and Hashimoto’s disease" 605 : 489-491, 1982

22 Yalow RS, "Immunoassay of endogenous plasma insulin in man" 39 : 1157-1175, 1960

23 Cho BY, "History of thyroidology in Korea" 1 (1): 1-10, 2008

24 Mable R, "Endocrinology update Vol. 9 No. 3"

25 Han JM, "Effects of low-dose and high-dose postoperative radioiodine therapy on the clinical outcome in patients with small differentiated thyroid cancer having microscopic extrathyroidal extension" 24 (24): 820-825, 2014

26 Min BS, "E-Rosette forming activity and spontaneous lymphocyte mediated cytotoxicity in Graves' disease" 605 : 441-444, 1982

27 Tae HJ, "Diagnostic value of ultrasonography to distinguish between benign and malignant lesions in the management of thyroid nodules" 17 (17): 461-466, 2007

28 National Evidence-based Healthcare Collaborating Agency, "Development of Evidence for providing health screening service for detecting thyroid cancer" 2012

29 Lee M, "Cytological aspiration biopsy of the thyroid gland" Ilchokak 1984

30 Curado MP, "Cancer incidence in five continents. Vol IX" International Agency for Research on Cancer 2007

31 Ministry of Health & Welfare, "Annual report of cancer statistics in Korea in 2011" 2013

32 Adams DD, "Abnormal responses in the assay of thyrotropin" 34 : 11-12, 1956

33 Mallick U, "Ablation with low-dose radioiodine and thyrotropin alfa in thyroid cancer" 366 (366): 1674-1685, 2012

34 Edge SB, "AJCC cancer staging manual" Springer 1-646, 2010