Miyauchi Akira
Center for Excellence in Thyroid Care, Kuma Hospital, Kobe, Japan.
VideoEndocrinology. 2016 Sep 14;3(3). doi: 10.1089/ve.2016.0073. eCollection 2016.
Many researchers have reported rapid increase in the incidence of thyroid cancer in many countries including the United States and Korea. The increase was mostly because of the increase in detection of small papillary carcinoma, and mortality rates from thyroid cancer remained stable. They suggested overdiagnosis and overtreatment of small papillary carcinoma. In Kuma Hospital, we have been conducting active surveillance of low-risk papillary carcinoma according to Miyauchi's proposal in 1993. This video reports the outcomes of our clinical trial according to the Kuma Hospital Protocol, showing that active surveillance is much better than immediate surgery for the patients with this indolent cancer. No competing financial interests exist. Runtime of video: 12 mins.
许多研究人员报告称，包括美国和韩国在内的许多国家甲状腺癌的发病率迅速上升。这种上升主要是由于小乳头状癌的检出率增加，而甲状腺癌的死亡率保持稳定。他们认为存在对小乳头状癌的过度诊断和过度治疗情况。在熊本医院，我们自1993年起一直按照宫内的提议对低风险乳头状癌进行积极监测。本视频报告了根据熊本医院方案进行的临床试验结果，表明对于这种惰性癌症患者，积极监测比立即手术要好得多。不存在相互冲突的财务利益。视频时长：12分钟。
