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Hashimoto's thyroiditis as a risk factor for thyroid cancer.
1Department of Medical Endocrinology and Metabolism, Copenhagen University Hospital Rigshospitalet.
Current Opinion in Endocrinology, Diabetes, and Obesity
|August 11, 2020
Summary
Hashimoto's thyroiditis is increasingly recognized as a risk factor for thyroid cancer. Recent findings highlight the inflammatory process in Hashimoto's thyroiditis and suggest guideline revisions for thyroid carcinomas.
Area of Science:
- Endocrinology
- Oncology
- Pathology
Background:
- Hashimoto's thyroiditis and thyroid cancer show increased prevalence, both individually and concurrently.
- The inflammatory process in Hashimoto's thyroiditis is a recognized potential risk factor for thyroid cancer development.
- Current diagnostic and follow-up methods for both conditions have limitations.
Purpose of the Study:
- To review recent developments concerning Hashimoto's thyroiditis as a risk factor for thyroid cancer.
- To highlight new understandings of the association between Hashimoto's thyroiditis and thyroid cancer.
- To discuss future clinical implications of this association.
Main Methods:
- Literature review of studies published within the last year.
- Analysis of recent findings on the co-occurrence of Hashimoto's thyroiditis and thyroid cancer.
- Synthesis of information regarding diagnostic and follow-up guidelines.
Main Results:
- Consistent findings show increased prevalence of Hashimoto's thyroiditis and thyroid cancer.
- The inflammatory component of Hashimoto's thyroiditis is implicated in thyroid cancer risk.
- International guidelines are evolving, with calls for a paradigm shift in managing thyroid carcinomas with lymphocytic infiltration.
Conclusions:
- Hashimoto's thyroiditis is a significant factor in thyroid cancer development.
- Updated diagnostic and management strategies are needed.
- Guidelines may require revision, particularly in iodine-sufficient areas, to account for lymphocytic infiltration.
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