Abstract
The thyroid is an accessible organ near the body’s surface which can easily be palpated during a routine physical examination or “ningen dock,” added as a simple adjunct to a sonogram of the breast or picked up by a CT, MRI or PET scan. Thyroid cancer also tends to progress slowly and many latent cancers are discovered in post-mortem pathology.
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Notes
- 1.
A “ningen dock” is a non-mandatory health screen unique to Japan. Its purpose is to discover and locate disease in the early phase among outwardly healthy individuals. It typically includes an extensive workup of serum and urine chemistry including tests for various tumor markers, an array of image scans including CT, MRI, ultrasonogram and increasingly FDG-PET as well as an assortment of mucus smears and physiological tests such as ECG. It is not covered by public health insurance and the cost is typically between 50, 000 and 150, 000 yen.
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Suzuki, S., Fukunari, N., Kameyama, K., Miyakawa, M., Tanaka, K., Hibi, Y. (2013). CQ3. What Is the Frequency (Probability of Cancer Before Examination) of Thyroid Cancer. In: Takami, H., Ito, Y., Noguchi, H., Yoshida, A., Okamoto, T. (eds) Treatment of Thyroid Tumor. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54049-6_8
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