Endocrine oncology

Thyroid cancer in adolescents and young adults: a population-based study in 185 countries worldwide

Lancet Diabetes EndocrinolPublished Population-based study

An erratum to this article was published (Lancet Diabetes Endocrinol, Jan 2026 ↗)

Authors' conclusion

The epidemiological profile of thyroid cancer among AYAs indicates a large expansion of overdiagnosis to younger populations. Increased efforts are required to prevent unnecessary diagnosis and treatment due to overuse of diagnostic procedures.

Study context

Population
Adolescents and young adults (AYAs) aged 15–39 years, 185 countries worldwide185 countries
Outcome
Trends (average annual percent changes of age-standardised incidence rates) and current burden of thyroid cancer among AYAs
Follow-up
2003-2017; 2022
Methodological details185 countries, CI5plus, WHO Mortality and GLOBOCAN databases
  • 185 countries
  • CI5plus, WHO Mortality and GLOBOCAN databases

Main finding

As reported in the abstract

Thyroid cancer incidence, mortality and burden among AYAs
Countries with average annual percent change of incidence >10% (2003-2017)
6
Countries with average annual percent change of incidence >5% (2003-2017)
19
New cases in 2022
≈237 000
Deaths in 2022
around 2100
Countries where thyroid cancer ranked among top three most diagnosed cancers, females
100
Countries where thyroid cancer ranked among top three most diagnosed cancers, males
26
Share of all new cancer cases, female AYAs (2022); second after breast cancer
20.3%
Share of all new cancer cases, male AYAs (2022); most common cancer
13.6%

Observational data: associations, not effects.

Further findings

Incidence-to-mortality ratios

Ratio for thyroid cancer, females, in some countries
exceeded 3300
Ratio for thyroid cancer, males, in some countries
exceeded 600
Ratio for other cancer types
<100

Variation and correlation with human development index (HDI)

Incidence varied greatly by country, continent and HDI; mortality less variable
HDI strongly and positively correlated with incidence; association with mortality negative but weak

Original publication

Thyroid cancer in adolescents and young adults: a population-based study in 185 countries worldwide. Lancet Diabetes Endocrinol. Published 19 November 2025. doi:10.1016/s2213-8587(25)00289-x

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