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Zhu C et al. – While a period effect that is likely due to advancements in diagnostic techniques and increased medical detection of small thyroid nodules may explain some of the observed increase in the incidence, the authors speculate that birth cohort–related changes in environmental exposures (such as increased exposure to diagnostic X–rays and polybrominated diphenyl ethers) have also contributed to the observed increase in papillary thyroid cancer during the past decades.

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