By M. R. Alderson (auth.), William Duncan (eds.)
The topic of this e-book, thyroid melanoma, used to be the subject selected for the 1st Symposium on scientific Oncology, orga nized by way of the Royal collage of Radiologists, London, on 26 and 27 January 1979. The papers gathered listed below are in line with the shows made at that assembly, yet were elevated normally to supply a extra entire overview. Thyroid melanoma is an unusual tumor, yet due to well-directed collabora tive efforts our wisdom of its pathogenesis, average historical past, and administration has elevated tremendously within the final decade. attention of this development in our realizing of thyroid melanoma good illustrates the most topic to be promoted during this and destiny symposia, that is the encouragement of a multidisciplinary method of the answer of the various out status difficulties in medical oncology. the necessity is recog nized for shut and sustained collaboration among clinicians of many speciality teams and learn employees of many medical disciplines, to speed up additional development within the prevention, early detection, and administration of all types of malignant sickness. Thyroid melanoma offers a superb instance of the current achievements of one of these multidisciplin- VI Preface ary procedure, the place British examine and event have made a contribution that has obtained around the world recognition.
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Extra resources for Thyroid Cancer
A summary of some data on the incidence ofthyroid cancer in England and Wales, Japan, and Sweden, taken from the work of WATERHOUSE et al. (1976), is given in Table 1. These data show that thyroid cancer is a very rare disease in persons under the age of 30 years. The data on thyroid cancer incidence in England and Wales given by CAMPBELL et al. (1963) showed that the incidence was low compared with mortality in the younger age groups, but incidence tended to become nearly equal to mortality in older age groups.
1963) showed that the incidence was low compared with mortality in the younger age groups, but incidence tended to become nearly equal to mortality in older age groups. WINSHIP and ROSVOL (1961) studied 277 cases of childhood thyroid cancer and found that about 80% had a history of therapeutic irradiation. Table 1. Annual incidence of thyroid cancer per million population. WATERHOUSE et al. 1976 Age group (years) England & Wales Japan Male Male Female Sweden Female Ma1e Female lO-15 0 2 0 0 0 6 30-35 50-55 3 8 3 24 0 9 23 55 lO 24 26 55 G.
Thus, published work on the association of thyroid disorders includes papers on carcinoma in simple goitre, solitary adenoma, multiple nodular goitre, thyrotoxicosis, and Hashimoto's thyroiditis. In none of these conditions is the association particularly frequent, and it is more common to suspect malignancy in these patients than to confirm it. As will be evident from other chapters in this volume, none of the modern diagnostic aids will give absolute guidance as to the presence or absence of a carcinoma, so that the ultimate decision concerning the need for obtaining histology of a thyroid has still to be made on clinical grounds.