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2019, Number 1

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Cir Cir 2019; 87 (1)

Experience in the d iagnosis and treatment of pediatric thyroid cancer in 38 cases

Correa C, Luengas JP, Veintemilla C
Full text How to cite this article

Language: Spanish
References: 9
Page: 7-11
PDF size: 158.77 Kb.


Key words:

Thyroid cancer, Pediatric, Child, Adolescent, Surgery, Thyroidectomy, Neck dissection.

ABSTRACT

Objective: To present our experience treating 38 patients with pediatric thyroid carcinoma. Method: We received 44 pediatric patients with thyroid cancer between 2008 and 2016 in a specialized cancer center. A team of two surgeons treated all patients. We reviewed patient charts, treatment, pathology report, recurrence, and mortality. Qualitative variables were analyzed using Chi-square. Quantitative variables have a 95% confidence interval. Results: 82% (n = 31) of cases were female. Average age at diagnosis was 12 years. The most frequent symptom was a thyroid nodule (74%), and the most frequent method of diagnosis was fine needle aspiration. 11 patients (29%) had pulmonary metastasis. All patients underwent total thyroidectomy, and 33 cases (86%) also had lymph node dissection. There were 5 (13%) postoperative complications. 33 cases received radioactive iodine treatment after surgery. Conclusions: Pediatric thyroid cancer usually presents with multifocal disease. Female adolescents are affected more frequently than males. Differentiated thyroid cancer is the most frequent type, and it has excellent survival rates.


REFERENCES

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  3. Rivera G, Lugo-Vicente H. Thyroid cancer in children. Bol Asoc Med P R. 2014;106:48-54.

  4. Rivkees SA, Mazzaferri EL, Verburg FA, Reiners C, Luster M, Breuer CK, et al. The treatment of differentiated thyroid cancer in children: emphasis on surgical approach and radioactive iodine therapy. Endocr Rev. 2011;32:798-826.

  5. Diesen DL, Skinner MA. Pediatric thyroid cancer. Semin Pediatr Surg. 2012;21:44-50.

  6. Guille JT, Opoku-Boateng A, Thibeault SL, Chen H. Evaluation and management of the pediatric thyroid nodule. Oncologist. 2015;20:19-27.

  7. Wang L, Xiang M, Ye B, Hu H, Shen C, Ma Y, et al. Differentiated thyroid cancer in children: a series of 29 cases. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zh. 2015;50:573-8.

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C?MO CITAR (Vancouver)

Cir Cir. 2019;87