<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2019000100007</article-id>
<article-id pub-id-type="doi">10.24875/ciru.18000044</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia en el diagnóstico y tratamiento de 38 casos de cáncer de tiroides en población pediátrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience in the diagnosis and treatment of pediatric thyroid cancer in 38 cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa]]></surname>
<given-names><![CDATA[Catalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luengas]]></surname>
<given-names><![CDATA[Juan P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veintemilla]]></surname>
<given-names><![CDATA[Galo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central Departamento de Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Cancerología Departamento de Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>1</numero>
<fpage>7</fpage>
<lpage>11</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2019000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2019000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2019000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Presentar nuestra experiencia en el diagnóstico y tratamiento de 38 pacientes pediátricos con cáncer de tiroides.  Método: Entre los años 2008 y 2016 recibimos 44 pacientes con cáncer de tiroides en un centro especializado de cáncer. Todos fueron tratados por un equipo de dos cirujanos. Se realizó una revisión retrospectiva de la historia clínica, el tratamiento recibido, los resultados histopatológicos, las recaídas y la mortalidad. Las variables cualitativas se analizaron con la prueba de ji al cuadrado. Las variables cuantitativas se trataron con medias e intervalos de confianza del 95%.  Resultados: El 82% (n = 31) de los casos fueron de sexo femenino. La edad promedio al diagnóstico fue de 12 años. El síntoma de presentación más frecuente (74%) fue un nódulo tiroideo. El método diagnóstico utilizado con mayor frecuencia fue el aspirado con aguja fina. Once pacientes (29%) tuvieron enfermedad metastásica, todos ellos en el pulmón. Todos los pacientes fueron sometidos a tiroidectomía total. Treinta y tres pacientes (86%) requirieron vaciamiento ganglionar. Hubo 5 pacientes (13%) con complicaciones posoperatorias. El 86% (n = 33) de los pacientes recibieron terapia complementaria con yodo.  Conclusiones: La presentación del cáncer de tiroides en la infancia generalmente es con enfermedad multifocal. Las adolescentes son las más afectadas. El cáncer diferenciado de tiroides es el tipo más frecuente y tiene una sobrevida excelente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neoplasias de tiroides]]></kwd>
<kwd lng="es"><![CDATA[Niño]]></kwd>
<kwd lng="es"><![CDATA[Adolescente]]></kwd>
<kwd lng="es"><![CDATA[Cirugía]]></kwd>
<kwd lng="es"><![CDATA[Tiroidectomía]]></kwd>
<kwd lng="es"><![CDATA[Disección del cuello]]></kwd>
<kwd lng="en"><![CDATA[Thyroid cancer]]></kwd>
<kwd lng="en"><![CDATA[Pediatric]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="en"><![CDATA[Thyroidectomy]]></kwd>
<kwd lng="en"><![CDATA[Neck dissection]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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