Thyroid cancer is the most common endocrinologic malignancy.[16]Pizzato M, Li M, Vignat J, et al. The epidemiological landscape of thyroid cancer worldwide: GLOBOCAN estimates for incidence and mortality rates in 2020. Lancet Diabetes Endocrinol. 2022 Apr;10(4):264-72.
http://www.ncbi.nlm.nih.gov/pubmed/35271818?tool=bestpractice.com
In the US, thyroid cancer accounts for 2.2% of all new cancer cases; median age at diagnosis is 51 years.[17]National Cancer Institute. Surveillance, Epidemiology, and End Results (SEER) Program. Cancer stat facts: thyroid cancer. 2024 [internet publication].
https://seer.cancer.gov/statfacts/html/thyro.html
There were an estimated 44,020 new cases in 2024, with 2170 deaths attributable to the disease.[17]National Cancer Institute. Surveillance, Epidemiology, and End Results (SEER) Program. Cancer stat facts: thyroid cancer. 2024 [internet publication].
https://seer.cancer.gov/statfacts/html/thyro.html
Thyroid cancer incidence rates are approximately three times higher in women than in men.[16]Pizzato M, Li M, Vignat J, et al. The epidemiological landscape of thyroid cancer worldwide: GLOBOCAN estimates for incidence and mortality rates in 2020. Lancet Diabetes Endocrinol. 2022 Apr;10(4):264-72.
http://www.ncbi.nlm.nih.gov/pubmed/35271818?tool=bestpractice.com
[17]National Cancer Institute. Surveillance, Epidemiology, and End Results (SEER) Program. Cancer stat facts: thyroid cancer. 2024 [internet publication].
https://seer.cancer.gov/statfacts/html/thyro.html
In the US, the lifetime probability of developing invasive thyroid cancer is 1.8% (1 in 55) for women and 0.7% (1 in 149) for men.[18]Siegel RL, Miller KD, Fuchs HE, et al. Cancer statistics, 2022. CA Cancer J Clin. 2022 Jan;72(1):7-33.
https://acsjournals.onlinelibrary.wiley.com/doi/10.3322/caac.21708
http://www.ncbi.nlm.nih.gov/pubmed/35020204?tool=bestpractice.com
Thyroid cancer incidence rates vary geographically, with the highest rates occurring in North America and the lowest rates in Africa, although this may reflect varying data quality worldwide.[19]James BC, Mitchell JM, Jeon HD, et al. An update in international trends in incidence rates of thyroid cancer, 1973-2007. Cancer Causes Control. 2018 May;29(4-5):465-73.
http://www.ncbi.nlm.nih.gov/pubmed/29623496?tool=bestpractice.com
Thyroid cancer incidence rates have been rising in many countries.[20]Panato C, Vaccarella S, Dal Maso L, et al. Thyroid cancer incidence in India between 2006 and 2014 and impact of overdiagnosis. J Clin Endocrinol Metab. 2020 Aug 1;105(8):2507-14.
https://academic.oup.com/jcem/article/105/8/2507/5820802
http://www.ncbi.nlm.nih.gov/pubmed/32297630?tool=bestpractice.com
[21]Wu J, Zhao X, Sun J, et al. The epidemic of thyroid cancer in China: current trends and future prediction. Front Oncol. 2022 Sep 2;12:932729.
https://www.frontiersin.org/articles/10.3389/fonc.2022.932729/full
http://www.ncbi.nlm.nih.gov/pubmed/36119514?tool=bestpractice.com
[22]Miranda-Filho A, Lortet-Tieulent J, Bray F, et al. Thyroid cancer incidence trends by histology in 25 countries: a population-based study. Lancet Diabetes Endocrinol. 2021 Apr;9(4):225-34.
http://www.ncbi.nlm.nih.gov/pubmed/33662333?tool=bestpractice.com
[23]Wang C, Wu Z, Lei L, et al. Geographic disparities in trends of thyroid cancer incidence and mortality from 1990 to 2019 and a projection to 2030 across income-classified countries and territories. J Glob Health. 2023 Sep 29;13:04108.
https://jogh.org/2023/jogh-13-04108
http://www.ncbi.nlm.nih.gov/pubmed/37766638?tool=bestpractice.com
Overdiagnosis of papillary thyroid cancer is the predominant contributor; it has been estimated that 70% to 80% of cases in the US are asymptomatic lesions that would have gone undetected during a patient's lifetime in the absence of imaging studies.[24]Roman BR, Morris LG, Davies L. The thyroid cancer epidemic, 2017 perspective. Curr Opin Endocrinol Diabetes Obes. 2017 Oct;24(5):332-6.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864110
http://www.ncbi.nlm.nih.gov/pubmed/28692457?tool=bestpractice.com
Incidence rates of clinically relevant thyroid cancers, as defined by histology, size, and invasiveness, have not changed significantly in 80 years.[25]Genere N, El Kawkgi OM, Giblon RE, et al. Incidence of clinically relevant thyroid cancers remains stable for almost a century: a population-based study. Mayo Clin Proc. 2021 Nov;96(11):2823-30.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9645772
http://www.ncbi.nlm.nih.gov/pubmed/34736609?tool=bestpractice.com