甲状腺癌并非全是“懒癌”，复发风险不容忽视

Core Insights - The incidence of thyroid cancer in China is rapidly increasing, with 466,100 new cases reported in 2024, making it the third most common cancer, particularly affecting younger populations [1][4] - There is a prevalent misconception among the public that thyroid cancer is a "lazy cancer," leading to insufficient follow-up and long-term management [1][2] - Clinical experts emphasize the need to break this misconception and raise awareness about the potential dangers and recurrence risks associated with thyroid cancer [1][3] Group 1: Incidence and Demographics - Thyroid cancer has become the most common cancer among young people aged 15-29, with a significant increase in cases among women, whose incidence rate is 49.4 per 100,000 [1][5] - Since 2000, the annual growth rate of thyroid cancer incidence among women has been approximately 20%, making it one of the most common cancers in Chinese women [5] Group 2: Misconceptions and Risks - The term "lazy cancer" is deemed unscientific and misleading, as there are highly malignant types of thyroid cancer that can progress rapidly and pose life-threatening risks [1][2] - The overall survival rate for thyroid cancer in China is 92.9%, but the recurrence rate can reach 20% after 10 years, with high-risk groups exceeding 30% [5][6] Group 3: Management and Follow-Up - Post-surgery management is crucial, with a need for dynamic assessment and standardized follow-up to minimize recurrence and metastasis risks [6][8] - Patients should undergo stratified assessments based on pathology, tumor size, and lymph node involvement to determine follow-up frequency and treatment strategies [8][10] Group 4: Treatment Protocols - High-risk patients may require additional treatments such as iodine-131 therapy, while low-risk patients still need careful monitoring due to potential changes in risk status [8][9] - The use of recombinant human thyroid-stimulating hormone (rh-TSH) for dynamic assessment is recommended to improve patient compliance and long-term survival rates [9][10] Group 5: Lifestyle and Awareness - Patients are encouraged to maintain a balanced diet, avoid excessive iodine intake, and manage stress to reduce recurrence risks [10] - Establishing a Thyroid Cancer Prevention and Treatment Day is suggested to enhance public awareness and shift management approaches from treatment-focused to comprehensive care [10]