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Objectives Data regarding thyroid cancer (TC) epidemiology in Greece in the last decade are scarce, so we investigated the trends in TC detection during 2007 to 2016. Methods We retrospectively studied 2040 pathology reports of total thyroidectomies performed at our institution from 2007 to 2016. Results A number of 478 cases of TC were identified in the studied decade. The overall incidence of TC among thyroidectomies rose over the years. The proportion of papillary T1 tumors among thyroidectomies increased in the second period of our study (2012‐2016), while that of papillary T2 to T4 tumors and other TC subtypes remained unchanged. Papillary T1 tumors represented 63.6% of all TC cases and 75.3% of them were low‐risk microcarcinomas (papillary thyroid microcarcinoma). The strategy of fine needle aspiration (FNA) prior to surgery in the management of thyroid nodules was adopted by more clinical endocrinologists in the area of Southwestern (SW) Greece in the second period of our study (2012‐2016:29.7% vs 2007‐2011:18.4%, P, A rise in thyroid cancer detection was observed in Southwestern Greece the decade 2007‐2016, concerning mainly small and low‐risk papillary tumours. The increasing use of FNA in the triage of thyroid nodules is the main cause for this rise.