Thyroid cancer in Ukraine after the Chernobyl accident (in the framework of the Ukraine–US Thyroid Project)

As a result of the accident at the Chernobyl Nuclear Power Plant, millions of residents of Belarus, Russia, and Ukraine were exposed to large doses of radioactive iodine isotopes, mainly I-131. The purpose of the Ukraine-American (UkrAm) and Belarus-American (BelAm) projects are to quantify the risk...

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Published inJournal of radiological protection Vol. 32; no. 1; pp. N65 - N69
Main Authors Tronko, Mykola, Mabuchi, Kiyohiko, Bogdanova, Tetiana, Hatch, Maureen, Likhtarev, Ilya, Bouville, Andre, Oliynik, Valeriy, McConnell, Robert, Shpak, Viktor, Zablotska, Lydia, Tereshchenko, Valeriy, Brenner, Alina, Zamotayeva, Galyna
Format Journal Article Conference Proceeding
LanguageEnglish
Published Bristol Institute of Physics 01.03.2012
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ISSN0952-4746
1361-6498
1361-6498
DOI10.1088/0952-4746/32/1/N65

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Abstract As a result of the accident at the Chernobyl Nuclear Power Plant, millions of residents of Belarus, Russia, and Ukraine were exposed to large doses of radioactive iodine isotopes, mainly I-131. The purpose of the Ukraine-American (UkrAm) and Belarus-American (BelAm) projects are to quantify the risks of thyroid cancer in the framework of a classical cohort study, comprising subjects who were aged under 18 years at the time of the accident, had direct measurements of thyroid I-131 radioactivity taken within two months after the accident, and were residents of three heavily contaminated northern regions of Ukraine (Zhitomir, Kiev, and Chernigov regions). Four two-year screening examination cycles were implemented from 1998 until 2007 to study the risks associated with thyroid cancer due to the iodine exposure caused during the Chernobyl accident. A standardised procedure of clinical examinations included: thyroid palpation, ultrasound examination, blood collection followed by a determination of thyroid hormone levels, urinary iodine content test, and fine-needle aspiration if required. Among the 110 cases of thyroid cancer diagnosed in UkrAm as the result of four screening examinations, 104 cases (94.5%) of papillary carcinomas, five cases (4.6%) of follicular carcinomas, and one case (0.9%) of medullary carcinoma were diagnosed.
AbstractList As a result of the accident at the Chernobyl Nuclear Power Plant, millions of residents of Belarus, Russia, and Ukraine were exposed to large doses of radioactive iodine isotopes, mainly I-131. The purpose of the Ukraine–American (UkrAm) and Belarus–American (BelAm) projects are to quantify the risks of thyroid cancer in the framework of a classical cohort study, comprising subjects who were aged under 18 years at the time of the accident, had direct measurements of thyroid I-131 radioactivity taken within two months after the accident, and were residents of three heavily contaminated northern regions of Ukraine (Zhitomir, Kiev, and Chernigov regions). Four two-year screening examination cycles were implemented from 1998 until 2007 to study the risks associated with thyroid cancer due to the iodine exposure caused during the Chernobyl accident. A standardised procedure of clinical examinations included: thyroid palpation, ultrasound examination, blood collection followed by a determination of thyroid hormone levels, urinary iodine content test, and fine-needle aspiration if required. Among the 110 cases of thyroid cancer diagnosed in UkrAm as the result of four screening examinations, 104 cases (94.5%) of papillary carcinomas, five cases (4.6%) of follicular carcinomas, and one case (0.9%) of medullary carcinoma were diagnosed.
As a result of the accident at the Chernobyl Nuclear Power Plant, millions of residents of Belarus, Russia, and Ukraine were exposed to large doses of radioactive iodine isotopes, mainly I-131. The purpose of the Ukraine-American (UkrAm) and Belarus-American (BelAm) projects are to quantify the risks of thyroid cancer in the framework of a classical cohort study, comprising subjects who were aged under 18 years at the time of the accident, had direct measurements of thyroid I-131 radioactivity taken within two months after the accident, and were residents of three heavily contaminated northern regions of Ukraine (Zhitomir, Kiev, and Chernigov regions). Four two-year screening examination cycles were implemented from 1998 until 2007 to study the risks associated with thyroid cancer due to the iodine exposure caused during the Chernobyl accident. A standardised procedure of clinical examinations included: thyroid palpation, ultrasound examination, blood collection followed by a determination of thyroid hormone levels, urinary iodine content test, and fine-needle aspiration if required. Among the 110 cases of thyroid cancer diagnosed in UkrAm as the result of four screening examinations, 104 cases (94.5%) of papillary carcinomas, five cases (4.6%) of follicular carcinomas, and one case (0.9%) of medullary carcinoma were diagnosed.As a result of the accident at the Chernobyl Nuclear Power Plant, millions of residents of Belarus, Russia, and Ukraine were exposed to large doses of radioactive iodine isotopes, mainly I-131. The purpose of the Ukraine-American (UkrAm) and Belarus-American (BelAm) projects are to quantify the risks of thyroid cancer in the framework of a classical cohort study, comprising subjects who were aged under 18 years at the time of the accident, had direct measurements of thyroid I-131 radioactivity taken within two months after the accident, and were residents of three heavily contaminated northern regions of Ukraine (Zhitomir, Kiev, and Chernigov regions). Four two-year screening examination cycles were implemented from 1998 until 2007 to study the risks associated with thyroid cancer due to the iodine exposure caused during the Chernobyl accident. A standardised procedure of clinical examinations included: thyroid palpation, ultrasound examination, blood collection followed by a determination of thyroid hormone levels, urinary iodine content test, and fine-needle aspiration if required. Among the 110 cases of thyroid cancer diagnosed in UkrAm as the result of four screening examinations, 104 cases (94.5%) of papillary carcinomas, five cases (4.6%) of follicular carcinomas, and one case (0.9%) of medullary carcinoma were diagnosed.
Author Shpak, Viktor
Tereshchenko, Valeriy
Hatch, Maureen
Zamotayeva, Galyna
Oliynik, Valeriy
Brenner, Alina
Bogdanova, Tetiana
Likhtarev, Ilya
Zablotska, Lydia
McConnell, Robert
Mabuchi, Kiyohiko
Tronko, Mykola
Bouville, Andre
AuthorAffiliation 2 National Cancer Institute of the USA, Division of Cancer Epidemiology and Genetics, Radiation Epidemiology Branch, Rockville, MD, USA
4 Department of Medicine, The Thyroid Clinic, College of Physicians and Surgeons, Columbia University, New York, NY, USA
3 Research Centre for Radiation Medicine, National Academy Medical Sciences Ukraine, Kiev, Ukraine
5 San Francisco School of Medicine, Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA
1 State Institution ‘V P Komisarenko Institute of Endocrinology and Metabolism’, National Academy Medical Sciences Ukraine, Vyshgorodska 69, Kiev 04114, Ukraine
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Cites_doi 10.1667/3148
10.1289/ehp.1002674
10.1002/cncr.22321
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10.1093/jnci/djj244
10.1038/sj.bjc.6605967
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Issue 1
Keywords Endocrinopathy
Human
Biological properties
Chernobyl
Endocrine gland
Toxicity
Thyroid diseases
Risk
Malignant tumor
Epidemiology
Nuclear accident
Thyroid cancer
Nuclear power plant
Biological effect
Cancer
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Snippet As a result of the accident at the Chernobyl Nuclear Power Plant, millions of residents of Belarus, Russia, and Ukraine were exposed to large doses of...
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SubjectTerms Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Chernobyl Nuclear Accident
Child
Child, Preschool
Endocrinopathies
Humans
Incidence
Infant
Infant, Newborn
Malignant tumors
Medical sciences
Middle Aged
Neoplasms, Radiation-Induced - epidemiology
Nuclear Power Plants - statistics & numerical data
Proportional Hazards Models
Radioactive Fallout - statistics & numerical data
Republic of Belarus - epidemiology
Risk Assessment
Risk Factors
Thyroid Neoplasms - epidemiology
Thyroid. Thyroid axis (diseases)
Ukraine - epidemiology
Young Adult
Title Thyroid cancer in Ukraine after the Chernobyl accident (in the framework of the Ukraine–US Thyroid Project)
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