When I write about all these things it is only to show how medicine has gone “off the derech[path]”
When I was studying medicine I hardly remember thyroid carcinoma being a problem, also not so many years later. After having been a few years in Israel I thought that a “new disease was discovered” [I can only judge what happened in Israel as I did not practice abroad but I did see the literature. Then came a new “wisdom”: FNB [fine needle bioposy] and after the results came back as OK a new silly policy……to be certain, please still operate was told to virtually all patients I saw!
I asked my patients to ask their super-specialist why the FNB was done from the beginning if the doctor already knew what the next step would be, never got a single logic answer. See now article below:
Thyroid Cancer Is Massively Overdiagnosed, Leading to Concrete Harms: In the past 30 years, there has been a global increase in the implementation of thyroid cancer screening programs which have lead to dramatically increased rates of diagnosis of “thyroid cancer,” mostly due to papillary carcinomas, which are non-fatal. Thyroid cancer mortality rates remained the same throughout this period, a clear indication of overdiagnosis, i.e. the thyroid lesions were non-cancerous insofar as they would have never caused harm if left untreated. The review cited a new study that reviewed the 15-fold increase in thyroid cancer in South Korean, from 1993 to 2011, concluding that, “Overdiagnosis of thyroid cancer is extremely common. The harms associated with this overtreatment include lifelong thyroid replacement, hypoparathyroidism, and vocal cord paralysis.” Learn more by reading my article, “Thyroid Cancer Epidemic Caused by Misinformation, Not Cancer.”