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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
CORREA, Catalina; LUENGAS, Juan P. and VEINTEMILLA, Galo. Experience in the diagnosis and treatment of pediatric thyroid cancer in 38 cases. Cir. cir. [online]. 2019, vol.87, n.1, pp.7-11. Epub Nov 29, 2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.18000044.
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.
Keywords : Thyroid cancer; Pediatric; Child; Adolescent; Surgery; Thyroidectomy; Neck dissection.