The molecular profile of thyroid tumors can be discovered today in at least 70–80% of cases. The most common alterations are point mutations of BRAF and RAS followed by RET/PTC rearrangements. Other less frequent oncogenes involved are PIK3CA, TP53, TSHR, PTEN, GNAS, and CTNNB1 (1), but taken together they are still not able to account for 100% of cases. According to the data reported and collected so far (http://www.sanger.ac.uk/genetics/CGP/), BRAFV600E point mutations are present in about 45% of papillary thyroid cancer (PTC), with a higher rate in classical and tall cell variants and a rather low prevalence in follicular variant (2). There are exceptions with higher prevalence of BRAFV600E in PTC found in areas of China with a very high iodine content in the drinking water (3) and PTC found in the volcanic area of Mount Etna in Sicily where the drinking water is particularly rich in several elements, such as boron, iron, manganese, and vanadium, often present in concentrations exceeding usual maximum limits (4). The observations of Jung et al (5), showing a high prevalence of BRAFV600E mutation in a series of PTC diagnosed in the United States over a 35-year period, from 1974 to 2009, are of great relevance in this regard, associated with a significant increase of its prevalence in the classical variant of PTC over these last decades. The first study that indicated an increase of the prevalence of BRAFV600E mutation was reported in 2005 in a UK series, and the authors hypothesized that some environmental/etiological agent(s) could be responsible for the changing molecular features of PTC over time (6). Similar results were reported 6 years later by Mathur et al (7) in a series of PTC patients reported from California, and the hypothesis in this study was that the increased prevalence of the BRAFV600E mutation could be responsible for the increasing rate of PTC. In 2012, we also reported a significant increasing rate of BRAFV600E mutation in an Italian multicenter study (8), and it was interesting to observe that the increase was similar when the analysis was separately performed in the four different groups of PTC patients (from Pisa, Milan, Perugia, and Catania). Because the reported series are really very heterogeneous from a geographical point of view, it is conceivable that the increased prevalence of BRAFV600E mutation is a worldwide phenomenon, making it plausible that only a common, or very similar, reason could explain this trend. It is known that higher iodine intake has been found to be associated with a higher incidence of PTC (9), and it is notable that programs of iodine prophylaxis appear to be associated with an increase in the prevalence of PTC and a decrease in follicular histology (follicular thyroid cancer [FTC]) (10–12). This evidence and the Chinese report (3) may raise the question of a link between iodine intake, BRAFV600E mutation, and the development of increased incidence of PTC, but up to now, no experimental evidence that iodine can induce somatic gene alterations in follicular cells has been reported. Nevertheless, it is known that the iodine radical (I●), iodinium ion (I ) and the hypoiodous acid intermediate (IO[IOH]) are commonly formed in the follicular cell and represent reactive elements that together or as an alternative to H2O2 can determine cell oxidative stress, which is required to create conditions for thyroid cell proliferation (13–15). Further experimental studies on this putative relationship between