Skip to main content
Log in

Thyroid carcinoma in Japan and the West: Similarities and differences

  • Review
  • Published:
Endocrine Pathology Aims and scope Submit manuscript

Abstract

Geographic or ethnic differences in the incidence of thyroid carcinoma, as well as in the histologic distribution of thyroid carcinoma between Japan and Western countries, have been described but are still unclear. The recent establishment of histologic criteria for the diagnosis of thyroid carcinoma by the WHO committee has facilitated the comparison of clinicopathological data of patients with thyroid carcinoma all over the world. The aim of the present review article is to clarify the epidemiological and clinicopathological differences of thyroid carcinoma between Japan and Western countries. We found recently no significant differences in the incidence, mortality, and histologic distribution of thyroid carcinoma between Japan and Western countries; this was contrary to our expectation. This is likely attributable to westernization of the Japanese diet, standardized medical levels, and international standardization of histologic criteria of thyroid carcinoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hedinger CHR, Williams ED, Sobin LH. Histological typing of thyroid tumours. 2nd ed., WHO International Histological Classification of Tumours. Berlin: Springer-Verlag, 1988.

    Google Scholar 

  2. Hakama M. Different world thyroid cancer rates. In: Hedinger C., ed. Thyroid cancer. UICC Monogr. ser. vol. 12. Berlin: Springer-Verlag, 1969; 66–70.

    Google Scholar 

  3. Haber MH, Lipkovic P. Thyroid cancer in Hawaii. Cancer 25:1224–1227, 1970.

    Article  CAS  PubMed  Google Scholar 

  4. Franceschi S, Boyle P, Maisonneuve P, Vecchia CL, Burt AD, Kerr DJ, MacFarlane GJ. The epidemiology of thyroid carcinoma. Crit Rev Oncogenesis 4:25–52, 1993.

    CAS  PubMed  Google Scholar 

  5. Parkin DM, Muir CS, Whelan SL, Gao YT, Ferlay J, Powell J. Cancer incidence in five continents. IARC, vol. VI, no. 120, Lyon: IARC Sci Publ, 1992; 984, 985.

    Google Scholar 

  6. Bondeson L, Ljungberg O. Occult thyroid carcinoma in the young and the aged. Cancer 53:1790–1792, 1984.

    Article  CAS  PubMed  Google Scholar 

  7. Sprogel P, Storm HH. Thyroid cancer: incidence, mortality and histological pattern in Denmark. Int J Epidemiol 18:990–992, 1989.

    Article  CAS  PubMed  Google Scholar 

  8. Ottino A, Pianzola HM, Castelletto RH. Occult papillary thyroid at autopsy in La Plata, Argentina. Cancer 64:547–551, 1989.

    Article  CAS  PubMed  Google Scholar 

  9. Rosai J, Carcangiu ML, Delellis RA. Tumors of the thyroid gland. In: Atlas of tumor pathology. 3rd ser., Washington, DC: Fascicle 5, Armed Forces Institute of Pathology, 1990; 327.

    Google Scholar 

  10. Hirayama T. Gan no hikakuekigakutekikenkyu—Tokuni nichibei no hikaku. In: Nagayo T, Tominaga S, eds. Gan. Nihon to sekai. Gan no Rinsho (Bessyu). Tokyo: Shinohara Shuppan, 1980; 24–43 (in Japanese).

    Google Scholar 

  11. Koike A. Koujousengan no byotaiseiri to rinsho. Nihon Iji Sinpo No. 3512:13–17, 1991 (in Japanese).

    Google Scholar 

  12. The Research Group for Population-Based Cancer Registration in Japan. Cancer incidence and incidence rates in Japan in 1985: estimates based on data from seven population-based cancer registries. Jpn J Clin Oncol 20:212–218, 1990.

    Google Scholar 

  13. The Research Group for Population-Based Cancer Registration in Japan. Cancer incidence and incidence rates in Japan in 1986: estimates based on data from nine population-based cancer registries. Jpn J Clin Oncol 21:318–323, 1991.

    Google Scholar 

  14. Koike A, Naruse T. Incidence of thyroid cancer in Japan. Semin Surg Oncol 7:107–111, 1991.

    Article  CAS  PubMed  Google Scholar 

  15. Ogawa H, Murakami T. Gan no kijyutsukigaku: sekai to nihon no bunputokusei to sono haikeiyouin. In: Tazima K ed. Gan no minzokuekigaku. Gan no Rinsho (Bessyu). Tokyo: Shinohara Shuppan, 1993; 27–69 (in Japanese).

    Google Scholar 

  16. Guberan E. Tendances de la mortalite en Suisse (3. Tumeurs: 1921–1978). Schweiz med Wschr 110(Suppl. 11):1–18, 1980.

    Google Scholar 

  17. Robbins J, Merino MJ, Boice JD, Ron E, Ain KB, Alexander HR, Norton JA, Reynolds J. Thyroid cancer: a lethal endocrine neoplasm. Ann Intern Med 115:133–147, 1991.

    CAS  PubMed  Google Scholar 

  18. Nakamura T, Ohno Y, Tamagosi A, Kawamura T, Suzuki S, Wakai T, Kuroishi T. Wagakuni no koujousenakuseisyuyousibou no kijyutsukigakuteki tokusei. Kousei no Shihyo 41:24–30, 1994 (in Japanese).

    Google Scholar 

  19. Mizukami Y, Michigishi T, Nonomura A, Noguchi M, Nakamura H. Thyroid carcinoma: clinical, pathologic correlations. Crit Rev Oncol Hematol 18:67–102, 1995.

    Article  CAS  PubMed  Google Scholar 

  20. Spitz MR, Sider JG, Katz RL, Pollack ES, Newell GR. Ethnic patterns of thyroid cancer incidence in the United States, 1973–1981. Int J Cancer 42:549–553, 1988.

    Article  CAS  PubMed  Google Scholar 

  21. Goodman MT, Yoshizawa CN, Kolonel LN. Descriptive epidemiology of thyroid cancer in Hawaii. Cancer 61:1272–1281, 1988.

    Article  CAS  PubMed  Google Scholar 

  22. Correa P, Chen VW. Endocrine gland cancer. Cancer (Suppl.) 75:338–352, 1995.

    CAS  PubMed  Google Scholar 

  23. Tominaga S. Cancer incidence in Japanese in Japan, Hawaii, and western United States. Natl Cancer Inst Monogr 69:83–92, 1985.

    CAS  PubMed  Google Scholar 

  24. Pettersson B, Adami HO, Wilander E, Coleman MP. Trends in thyroid cancer incidence in Sweden, 1958–1981, by histopathological type. Int J Cancer 48:28–33, 1991.

    Article  CAS  PubMed  Google Scholar 

  25. Ezaki H, Ebihara S, Fujimoto Y, Iida F, Ito K, Kuma K, Izuo M, Makiuchi M, Oyamada H, Matoba N, Yagawa K. Analysis of thyroid carcinoma based on material registered in Japan during 1977–1986 with special reference to predominance of papillary type. Cancer 70:808–814, 1992.

    Article  CAS  PubMed  Google Scholar 

  26. Saxen E, Franssila K, Bjarnason O, Normann T, Ringertz N. Observer variation in histologic classification of thyroid cancer. Acta Path Microbiol Scand Sect A 86:483–486, 1978.

    Google Scholar 

  27. Kakudo K, Nakamura Y, Naganuma H, Koyama T, Kurozumi M, Sugano J, Higuchi L, Hirokawa M. Thyroid cancer. Observer variation. Byori to Rinsho 14:580–582, 1996 (in Japanese).

    Google Scholar 

  28. Hedinger CHR. Epidemiology of thyroid cancer. In: Jaffiol C, Milhaud G, eds. Thyroid cancer, Netherlands: Elsevier; 1985, 3–9.

    Google Scholar 

  29. Schmid KW, Totsch M, Hittmair A, Feichtinger H, Ladurner D, Hofstadter F. Frequency of medullary thyroid carcinoma in an endemic goiter area. Mod Pathol 2:90–93, 1989.

    CAS  PubMed  Google Scholar 

  30. Akslen LA, Haldorsen T, Thoresen SO, Glattre E. Population review on time trend, sex, age, histological type and tumour stage in 2625 cases. APMIS 98:549–568, 1990.

    Article  CAS  PubMed  Google Scholar 

  31. Belfiore A, La Rosa GL, Padova G, Sava L, Ippolito O, Vigneri R. The frequency of cold thyroid nodules and thyroid malignancies in patients from an iodine-deficient area. Cancer 60:3096–3102, 1987.

    Article  CAS  PubMed  Google Scholar 

  32. Sambade MC, Goncalves VS, Dias M, Sobrinho-Simoes M. High relative frequency of thyroid papillary carcinoma in Northern Portugal. Cancer 51:1754–1759, 1983.

    Article  CAS  PubMed  Google Scholar 

  33. Franceschi S, Fassina A, Talamini R, Mazzolini A, Vianello S, Bidoli E, Serraino D, la Vecchia C. Risk factors for thyroid cancer in Northern Italy. Int J Epidemiol 18:578–584, 1989.

    Article  CAS  PubMed  Google Scholar 

  34. Kolonel LN, Hankin JH, Wilkens LR, Fukunaga FH, Hinds MW. An epidemiologic study of thyroid cancer in Hawaii. Cancer Causes Control 1:223–234, 1990.

    Article  CAS  PubMed  Google Scholar 

  35. Preston-Martin S, Jin F, Duda MJ, Mack WJ. A case-control study of thyroid cancer in women under age 55 in Shanghai (P.R. China). Cancer Causes Control 4:431–440, 1993.

    Article  CAS  PubMed  Google Scholar 

  36. Sobrinho-Simoes M. Tumours of thyroid: a brief overview with emphasis on the most controversial issues. Current Diag Pathol 2:15–22, 1995.

    Article  Google Scholar 

  37. Hayashi Y, Kawamoto H, Eto R. Problems in the surgical pathology diagnosis of thyroid carcinoma. Hiroshima Igaku 41:1703–1708, 1991 (in Japanese).

    Google Scholar 

  38. Ito K. Thyroid carcinoma. Taisha (Suppl.) 26:271–281, 1989 (in Japanese).

    Google Scholar 

  39. Harach HR, Franssila KO, Wasenius VM. Occult papillary carcinoma of the thyroid: a “normal” finding in Finland. A systematic autopsy study. Cancer 66:531–538, 1985.

    Article  Google Scholar 

  40. Martinez-Tello FJ, Martinez-Cabruja R, Fernandez-Martin J, Lasso-Oria C, Ballestin-Carcavilla C. Occult carcinoma of the thyroid. Cancer 71:4022–4029, 1993.

    Article  CAS  PubMed  Google Scholar 

  41. Sobrinho-Simoes M, Sambade MC, Goncalves V. Latent thyroid carcinoma at autopsy: a study from Oport, Portugal. Cancer 43: 1702–1706, 1979.

    Article  CAS  PubMed  Google Scholar 

  42. Lange W, Borrusch H, Bauer L. Occult carcinomas of the thyroid: evaluation of 1,020 sequential autopsies. Am J Clin Pathol 90: 72–76, 1988.

    Google Scholar 

  43. Komorowski RA, Hanson GH. Occult thyroid pathology in the young adult: an autopsy study of 138 patients without clinical thyroid disease. Hum Pathol 19:689–696, 1988.

    Article  CAS  PubMed  Google Scholar 

  44. Bisi H, Fernandes VSO, de Camargo RYA, Koch L, Abdo AH, de Brito T. The prevalence of unsuspected thyroid pathology in 300 sequential autopsies, with special reference to the incidental carcinoma. Cancer 64:1888–1893, 1989.

    Article  CAS  PubMed  Google Scholar 

  45. Fukunaga FH, Yatani R. Geographic pathology of occult thyroid carcinomas. Cancer 36:1095–1099, 1975.

    Article  CAS  PubMed  Google Scholar 

  46. Yamamoto Y, Maeda T, Izumi K, Utsuka H. Occult papillary carcinoma of the thyroid: a study of 408 autopsy cases. Cancer 65:1173–1179, 1990.

    Article  CAS  PubMed  Google Scholar 

  47. Sakamoto A, Kitagawa T, Sugano H. Clinicopathological study of latent cancer of the thyroid in autopsy cases with malignancies. Gan no Rinsho 28:106–110, 1982 (in Japanese).

    CAS  PubMed  Google Scholar 

  48. Takashima S, Miki N, Moriwaki S. Clinicopathological study of occult thyroid carcinoma—especially in the developmental mode of papillary carcinoma. Gan no Rinsho 26:1318–1323, 1980 (in Japanese).

    Google Scholar 

  49. Ohshima M, Ward JM. Promotion ofN-methyl-N-nitrosourea-induced thyroid tumors by iodine deficiency in F344/NCr rats. J Natl Cancer Inst 73:289–294, 1984.

    CAS  PubMed  Google Scholar 

  50. Yamashita H, Noguchi S, Murakami N, Kato R, Adachi M, Inoue S. Effects of dietary iodine on chemical induction of thyroid carcinoma. Acta Pathol Jpn 40:705–712, 1990.

    CAS  PubMed  Google Scholar 

  51. Kanno J, Onodera H, Furuta K, Maekawa A, Kasuga T, Hayashi Y. Tumor-promoting effects of both iodine deficiency and iodine excess in the rat thyroid. Toxicol Pathol 20:226–235, 1992.

    Article  CAS  PubMed  Google Scholar 

  52. Hedinger CHR. Geographic pathology of thyroid diseases. Pathol Res Pract 171:285–292, 1981.

    CAS  PubMed  Google Scholar 

  53. Hofstadter F. Frequency and morphology of malignant tumours of the thyroid before and after the introduction of iodine-prophylaxis. Virchows Arch A Path Anat Histol 385:263–270, 1980.

    Article  CAS  Google Scholar 

  54. Trowbridge FL, Matovinovic J, McLaren GD, Nichaman MZ. Iodine and goiter in children. Pediatrics 56:82–90, 1975.

    CAS  PubMed  Google Scholar 

  55. Park YK, Harland BF, Vanderveen JE, Shank FR, Prosky L. Estimation of dietary iodine intake of Americans in recent years. J Am Diet Assoc 79:17–24, 1981.

    CAS  PubMed  Google Scholar 

  56. Wenlock RW, Buss DH, Moxon RE, Bunton NG. Trace nutrients. 4: iodine in British food. Br J Nutr 47:381–390, 1982.

    Article  CAS  PubMed  Google Scholar 

  57. DeGroot LJ, Larsen PR, Refetoff S, Stanburg JB. Graves' disease: diagnosis and treatment. In: DeGroot LJ, Larsen PR, Refetoff S, Stanburg JB, eds. The Thyroid and its disease. 5th ed. New York: John Wiley & Sons, 1984; 399–453.

    Google Scholar 

  58. Nelson M, Phillips DIW. Seasonal variations in dietary iodine intake and thyrotoxicosis. Human Nutrition: Applied Nutrition 39A: 213–216, 1986.

    Google Scholar 

  59. Tislaric D, Solter M, Sekso M. The urinary iodide excretion in subjects on different diets. Exp Clin Endocrinol 90:123–125, 1987.

    CAS  PubMed  Google Scholar 

  60. Delange F, Ermans AM. Iodine deficiency. In: Lewis E, Braverman LE, Robert D, Utiger RD, eds. The thyroid. J. B. Lippincott, New York: 1991, 368–390.

    Google Scholar 

  61. Suzuki M, Tamura T. Iodine intake of Japanese male university students: urinary iodine excretion of sedentary and physically active students and sweat iodine excretion during exercise. J Nutr Sci Vitaminol 31:409–415, 1985.

    CAS  PubMed  Google Scholar 

  62. Ishizuki Y, Hirooka Y, Murata Y. Urinary iodide excretion in Japanese people and thyroid dysfunction. Nihon Naibunpi Gakkai Zasshi 68: 550–556, 1992 (in Japanese).

    CAS  Google Scholar 

  63. Glattre E, Haldorsen T, Berg JP, Stensvold I, Solvoll K. Norwegian case-control study testing the hypothesis that seafood increases the risk of thyroid cancer. Cancer Causes Control 4:11–16, 1993.

    Article  CAS  PubMed  Google Scholar 

  64. Franceschi S, Levi F, Negri E, Fassina A, Vecchia CL. Diet and thyroid cancer: a pooled analysis of four European case-control studies. Int J Cancer 48:395–398, 1991.

    Article  CAS  PubMed  Google Scholar 

  65. Berg JP, Glattre E, Haldorsen T, Hostmark AT, Bay IG, Johansen AF, Jellum E. Longchain serum fatty acids and risk of thyroid cancer: a population-based case-control study in Norway. Cancer Causes Control 5:433–439, 1994.

    Article  CAS  PubMed  Google Scholar 

  66. DeGroot LJ, Paloyan E. Thyroid carcinoma and radiation: a Chicago endemic. JAMA 225:487–491, 1973.

    Article  CAS  PubMed  Google Scholar 

  67. Miller RW, Young JL Jr, Novakovic B. Childhood cancer. Cancer (Suppl.) 75:395–405, 1995.

    Article  CAS  PubMed  Google Scholar 

  68. Nihon Shounigan Gakkai. Shouni akuseisinseibutu (shounigan) zenkoku tourokuiinkai meibo. Jpn J Pediatr Oncol 32:80–93, 1995 (in Japanese).

    Google Scholar 

  69. Sogolow EL, Hashizume A, Neriishi S, Niitani R. Thyroid carcinoma in man after exposure to iodine radiation: a summary of the findings in Hiroshima and Nagasaki. N Engl J Med 268:406–410, 1963.

    Article  Google Scholar 

  70. Parker LN, Belsky JL, Yamamoto T, Kawamoto S, Keehn RJ. Thyroid carcinoma after exposure to atomic radiation: a continuing survey of a fixed population, Hiroshima and Nagasaki, 1958–1971. Ann Intern Med 80:600–604, 1974.

    CAS  PubMed  Google Scholar 

  71. Ezaki H, Takeichi N, Yoshimoto Y. Thyroid cancer: epidemiological study of thyroid cancer in A-bomb survivors from extended life span study cohort in Hiroshima. J Radiate Res (Suppl.):193–200, 1991.

    Article  Google Scholar 

  72. Kazakov VS, Demidchik EP, Astakhova LN. Thyroid cancer after Chernobyl. Nature 359:21, 1992.

    Article  CAS  PubMed  Google Scholar 

  73. Furmanchuk AW, Averkin JI, Egloff B, Rucht C, Abelin T, Schappi W, Korotkevich EA. Pathomorphological findings in thyroid cancers of children from the Republic of Belarus: a study of 86 cases occurring between 1986 (“post-Chernobyl”) and 1991. Histopathology 21:401–408, 1992.

    Article  CAS  PubMed  Google Scholar 

  74. Hamburger JI. Should all autonomously functioning thyroid nodules be ablated to prevent the subsequent development of thyrotoxicosis? In: Hamburger JI, Miller JM, eds. Controversies in clinical thyroidology. New York: Springer-Verlag, 1981; 69–104.

    Google Scholar 

  75. Torizuka K, Endo K, Komishi J, Mori T. Plummer disease. Nihon Rinsho (Suppl.)41: 804–809, 1983 (in Japanese).

    Google Scholar 

  76. Mizukami Y, Michigishi T, Nonomura A, Yokoyama K, Noguchi M, Hashimoto T, Nakamura S, Ishizaki T. Autonomously functioning (hot) nodule of the thyroid gland: a clinical and histopathologic study of 17 cases. Am J Clin Pathol 101:29–35, 1994.

    CAS  PubMed  Google Scholar 

  77. Carcangiu ML, Zampi G, Rosai J. Poorly differentiated (“insular”) thyroid carcinoma: a reinterpretation of Langhans' ‘wacherndle stroma’. Am J Surg Pathol 8:655–668, 1984.

    Article  CAS  PubMed  Google Scholar 

  78. Mizukami Y, Nonomura A, Michigishi T, Noguchi M, Ohmura K, Nakamura S, Hoso M. Poorly differentiated (“insular”) carcinoma of the thyroid. Pathology International 45:663–668, 1995.

    CAS  PubMed  Google Scholar 

  79. Milis SE, Gaffey MJ, Watts JC, Swanson PE, Wick MR, LiVolsi VA, Nappi O, Weiss LM. Angiomatoid carcinoma and “angiosarcoma” of the thyroid gland: a spectrum of endothelial differentiation. Am J Clin Pathol 102:322–330, 1994.

    Google Scholar 

  80. Shi Y, Zou M, Schmidt H, Juhasz F, Stensky V, Robb D, Farid NR. High rates ofras codon 61 mutation in thyroid tumors in an iodine-deficient area. Cancer Res 51:2690–2693, 1991.

    CAS  PubMed  Google Scholar 

  81. Ahuja S, Hoppe I, Keyserlingk H, Ernst H. HLA and thyroid carcinoma. Exp Clin Endocrinol 99:134–136, 1992.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nakamura, S., Nakamura, H. & Mizukami, Y. Thyroid carcinoma in Japan and the West: Similarities and differences. Endocr Pathol 7, 251–263 (1996). https://doi.org/10.1007/BF02739832

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02739832

Key Words

Navigation