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Increased surveillance of these cohorts has been suggested as a potential explanation of this reported excess thyroid cancer risk leading to an increased diagnosis of earlier\u2010stage thyroid cancers. However, the uncertainty to what extent surveillance or physician bias may be contributing to the reported incidence of thyroid cancer in WTC\u2010dust exposed populations remains, highlighting the need to investigate a potential causal link between WTC dust exposure and thyroid cancer. Future studies are therefore indicated to investigate potential consequences of WTC dust exposure on the thyroid gland. Studies of the heavily exposed populations offer the possibility to better understand the mechanisms behind the exposure to a variety of environmental contaminants, and may provide useful insights into exposures harmful to the thyroid. These can be used in risk stratification when implementing screening in high\u2010risk populations and may inform shared decision\u2010making regarding the extent of thyroid cancer treatment.<\/jats:p>","DOI":"10.1002\/ajim.23268","type":"journal-article","created":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T17:07:45Z","timestamp":1624381665000},"page":"881-884","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Post\u20109\/11 excess risk of thyroid cancer: Surveillance or exposure?"],"prefix":"10.1002","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0568-7388","authenticated-orcid":false,"given":"Maaike","family":"van Gerwen","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai New York New York USA"},{"name":"Institute for Translational Epidemiology Icahn School of Medicine at Mount Sinai New York New York 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