prevalence of thyroid carcinoma
0.8 million of population
three females to one male
mortality rate 80% 5 year survival
incidence of PTC is increasing
papillary microcarcinoma
less than 10 mm size
seen in 10% of benign resected tumours , but no adverse outcomes including recurrence and non survival
japan study - 2/3 rd of them do no prgress
most groups avoid the diagnosis by limiting the biopsies to lesions more than 10mm & being conservative in management if diagnosed
side effects of long term TSH suppression
osteoporosis , cardiac arrythmias