University of California San Francisco
Helen Diller Family Comprehensive Cancer Center

Radiation Exposure Linked To Aggressive Thyroid Cancers

International Team Studied Children and Teens Exposed After Chernobyl

By Laura Kurtzman | UCSF.edu | October 27, 2014

For the first time, researchers have found that exposure to radioactive iodine is associated with more aggressive forms of thyroid cancer, according to a careful study of nearly 12,000 people in Belarus who were exposed when they were children or adolescents to fallout from the 1986 Chernobyl nuclear power plant accident.

Researchers examined thyroid cancers diagnosed up to two decades after the Chernobyl accident and found that higher thyroid radiation doses estimated from measurements taken shortly after the accident were associated with more aggressive tumor features.

“Our group has previously shown that exposures to radioactive iodine significantly increase the risk of thyroid cancer in a dose-dependent manner. The new study shows that radiation exposures are also associated with distinct clinical features that are more aggressive,” said the paper’s first author, Lydia Zablotska, MD, PhD, associate professor in the Department of Epidemiology and Biostatistics at UC San Francisco (UCSF). The paper will be published online Tuesday, Oct. 28, in the journal Cancer.

Zablotska said the findings have implications for those exposed to radioactive iodine fallout from the 2011 nuclear reactor incidents in Fukushima, Japan, after the reactors were damaged by an earthquake-induced tsunami.

“Those exposed as children or adolescents to the fallout are at highest risk and should probably be screened for thyroid cancer regularly, because these cancers are aggressive, and they can spread really fast,” Zablotska said. “Clinicians should be aware of the aggressiveness of radiation-associated tumors and closely monitor those at high risk.”

Chernobyl studies led by Zablotska also showed for the first time that exposures to the radioactive iodine after the Chernobyl nuclear plant accident are associated with a whole spectrum of thyroid diseases, from benign to malignant. Benign encapsulated tumors of the thyroid gland are called follicular adenomas, and are treated in the same way as thyroid cancer—by removing the thyroid gland, then giving patients pills to replace the hormones that are lost. Lifelong hormone supplementation treatment is both costly and complicated for patients.

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