Experts worry that radiation fears are leading to unnecessary surgery for children

Experts question Fukushima thyroid screening

by Mizuho Aoki

Staff Writer

More than three years after the triple core meltdown in Fukushima Prefecture devastated the lives of thousands of residents, the effect that the radiation release is having on children’s thyroid glands still weighs heavily on residents’ minds.

The iodine-131 released into the air by the meltdowns accumulates in the thyroid gland, increasing the risk of thyroid cancer. The gland is responsible for regulating hormone levels in the body.

Children are considered especially vulnerable. After the 1986 Chernobyl disaster, more than 6,000 children were diagnosed with thyroid cancer by 2005, according to the U.N. Scientific Committee of the Effects of Atomic Radiation.

Given the local anxiety, the Fukushima Prefectural Government in October 2011 started offering free thyroid screenings for everyone who was 18 or younger at the time of the disaster. The prefecture has 370,000 residents in that age group, and 300,000 had received voluntary checkups by the end of March.

The program may look good on paper, but it has drawn flak from medical experts who say it is far from adequate in determining a link between the cancers found and radiation exposure.

At the core of the criticism is the prefectural government’s policy of not releasing data on the results of the checkups, such as what stage of cancer the examinees are in.

This lack of disclosure — based on prefectural privacy policies — has made it hard for experts to accurately judge whether the abnormally high incidence of thyroid cancer in Fukushima is being caused the nuclear debacle or the higher screening rate.

In addition, the prefecture has no authority to follow up on children who test positive for cancer, meaning its data on the medical effects of the aftermath of the disaster will be limited.

As of March, the prefectural government found 90 children with suspected thyroid cancer after nearly 300,000 examinations. The prefecture was able to confirm that 51 of them opted to have surgery to remove part or all of their thyroid gland.

This figure is clearly high compared with a thyroid cancer registry rate of around one to nine per 1 million teens in Japan, experts say.

But because thyroid cancer often causes no symptoms and thus goes undiagnosed, experts point to the possibility that the ratio in Fukushima has turned out to be higher simply due to the widespread screening.

“The screenings may have ended up finding cancer that would have never have caused a health problem for their entire lives even if left unattended,” said Kenji Shibuya, a professor and chairman of the department of global health policy at the University of Tokyo.

The thyroid cancer rate among children near the Chernobyl plant started to rise four to five years after the catastrophe, mainly because they kept drinking highly contaminated milk and local produce, according to UNSCEAR.

But in Fukushima, several studies have confirmed that internal and external exposure levels were indeed much lower than those around the former Soviet power plant, which met a much more violent fate.

In April, UNSCEAR said that in Fukushima “the occurrence of a large number of radiation-induced thyroid cancers as were observed after Chernobyl can be discounted because doses were substantially lower.”

“Given the low radiation exposure levels, it is possible that detected cancers were the kind of cancers that would never do harm. But they were found because of the screenings,” said Shibuya, a member of a panel tasked with assessing the result of the thyroid examinations in Fukushima.

He added that there is also a possibility that patients underwent unnecessary surgery.

To examine the possibility of overdiagnosis— diagnosis of a malady that never causes symptoms or death — Shibuya and other medical experts have urged Fukushima Medical University, which is heading up the examination program, to disclose its findings on treated patients, such as the percentage of thyroid cancer cases that spread to the lymph nodes or elsewhere in the body.

The university refuses to disclose the data for privacy reasons.

The Fukushima Prefectural Government meanwhile says it doesn’t have the authority to track down and gather the information from medical institutions because treatment after diagnosis is outside its jurisdiction.

Fukushima official Yukio Kakuta acknowledged that the prefecture can’t track down all patients.

“Under the current system, we can’t follow up on all of the patients,” Kakuta said. “In addition to the issue of privacy, it’s my understanding that some patients and their parents are skeptical of the prefecture-led health checkup program itself, and that some people don’t trust Fukushima Medical University.

“I believe some of those people have gone to other hospitals to get their thyroid glands checked and treated,” which makes it difficult for the prefecture to find out what happens to them over the long term, he said.

Kakuta said the information disclosure issue will be discussed at the next meeting of a local committee in late August but will stay in place for now.

Shibuya of the University of Tokyo pointed out that the disclosure of information on the stages of the cancers does not violate patient privacy.

“They only have to disclose information on percentages of various cancer stages, such as the cases when the lymph nodes are infiltrated with malignant cells,” he said.

“If all of the treated cancers were such cases, then we would know (what’s happening in Fukushima) is not normal, and start discussions on the potential effects of the radiation,” he said. “But without disclosing the data, the suspicion (of overdiagnosis) will never go away.”

With the spreading use of sonography, overdiagnosis of thyroid cancer has become a concern worldwide. While the number of cases is on the rise, experts say the mortality rate remains unchanged.

Most cases of papillary thyroid cancer, the type that appears most prevalent among children in Fukushima, have a slow growth rate and very low risk of death, the experts say. Therefore, some hospitals in Japan nowadays tell patients with low risk thyroid cancer that long-term observation of their condition is an option to surgery.

Iwao Sugitani, a professor and chairman of the department of endocrine surgery at Nippon Medical School Graduate School of Medicine, said about 90 percent of thyroid cancer cases in Japan involve papillary thyroid cancer. And about nine out of every 10 patients with this type of cancer face very low risk of death, with a survival rate of 99 percent 10 years after surgery.

According to a study conducted by the Cancer Institute Hospital in Tokyo from 1995 to 2009 on patients with papillary thyroid cancer tumors measuring less than 1 cm with no infiltration or metastasis, a total of 283 people chose not to have surgery and opted instead to be monitored on a regular basis. None died nor saw the tumors spread to other parts of the body, according to the study.

“Early detection and early treatment is recommendable for most cancers. But I don’t see much meaning in finding and conducting surgery on people with a small papillary thyroid cancer that would go undetected for their entire lifetimes” without screening, Sugitani said.

Shibuya of the University of Tokyo also questions whether the mostly benign nature of papillary thyroid cancer and the option of having no surgery are being fully explained to the children and their parents in Fukushima.

“Without such knowledge, it’s natural for most parents to ask doctors to perform surgery,” Shibuya said.

By going under the knife, “children will have scars on their necks, and they may suffer from the thought that they developed cancer due to radiation exposure,” he said. “Some of them might have to take hormone tablets during their entire lives. (The Fukushima government) must think harder on whether it should continue the program as it is now.”

  • rickokona

    It is sad to see the politics of poison and cancer are alive and well in Japan. Statements like 9 of 10 patients with papillary thyroid cancer are in no immediate threat is so vague it will be interpreted to mean that its nothing to be concerned about. Most cancers are no immediate threat. The statements by the so called experts are rife with speculation. Do the science, analyze the data, put it out for public review, then speculate what it means. As a scientist, I am appalled by others in the field who don’t have the integrity to simply say to the public, we really do not know for sure, thus it would be irresponsible for me to speculate without having done the research first.

    • Sam Gilman

      I’m not sure you understand the issue here.

      At the moment, there is a mass screening programme of all children 0-18 that were in Fukushima at the time of the accident. It is done doing highly sensitive equipment, and with the direct purpose of looking for thyroid cancers.

      Thyroid cancers can have a very long latency period. This is the time between the cancer forming and the cancer producing symptoms. It can be anything between three years and thirty years. Some thyroid cancers can exist for a full life time and not develop into a problem. One autopsy survey suggested that over a third of people with no known symptoms of thyroid cancer have thyroid tumours when they die.

      Put together, we have a clear recipe for the screening effect: an initially high number of cases discovered that turn out to be nothing out of the ordinary. Some “cases” would never actually develop to need treatment.

      This is in a situation where the actual radioactive iodine doses received are, in the estimation of leading Chernobyl researchers, simply too low for a genuine rise in thyroid cancers to be at all likely.

      And this is what we have: an “apparent” ride in thyroid cancers that to the knowledgeable eye looks as though it is an artefact of the screening programme.

      This means there is a high possibility that a large number of parents and children are being unnecessarily scared and a sub-group of them possibly unnecessarily operated on.

      These experts are saying that there are ways of looking at the data to better establish what is happening, so that over diagnosis does not occur and that parents are empowered to make better choices.

      They are not speaking out of turn at all. There has been some ghastly fearmongering here in Japan by people seeking to profit from the disaster. It’s good to have discussion from genuine experts.

      • rickokona

        Perhaps. If it is an artifact of screening that lets do the research. Get the data on exposure if its even possible now with the Secrets Act in force. Its very easy to cast doubt but now impossible to get the data and know for sure.

      • Sam Gilman

        The data on exposure have long been known. They’re not a secret. They have been the basis for expert teams to state that there will very likely be no statistically measurable increase in the incidence of cancer.

        The issue here is not the Secrecy Act, it’s rules on privacy of personal data. They’ve been quite strict (and open to stricter interpretation) in Japan for some time. The experts mentioned here believe that certain data (about the size of tumours, for example) could be released without any threat to patient confidentiality, and which would help assess the scale of the screening effect.

      • rickokona

        Nonsense. The radioactive inventory is incomplete. The UNSCEAR report is flawed propaganda. I don’t know who the hell you are but your credibility is more than suspect. End of conversation !!!

      • Sam Gilman

        That’s an interesting response. I would be happy to talk to you about evidence and the health situation in Fukushima. Yet you appear to want to suppress such a conversation. I’ll be honest, I’ve met your sort online before. You are desperate to tell everyone that lots of children are going to die, but whenever you’re challenged, you run away from a discussion of evidence.

        It’s as if you want keep secrets from people. It’s as if you don’t want people to know what medical researchers are saying.

        Why would that be, rickokona?

  • Lincoln Vitalis

    Please, please, please shutdown all nuclear power plants now. We have evolved beyond the point of needing to boil water with uranium to drive a steam turbine to produce electricty. We have not evolved beyond the point of our biology and ecology being able to exist in concert with the waste generated from this boiling of water with uranium insanity.

    • Steve Novosel

      “We have evolved beyond the point of needing to boil water with uranium to drive a steam turbine to produce electricty.”

      No, no we haven’t. We’ve just switched back to generating electricity by far more harmful coal and gas. Which, you are probably aware, is far more harmful to people’s health. One step forward, two steps back.

      Like Germany’s supposed move away from nuclear – they’re just burning a lot more coal, which is far more unhealthy to mine and burn.