Revista chilena de cirugía
versión On-line ISSN 0718-4026
PEREZ P, JUAN ANTONIO et al. Retrospective review of pediatric patients with thyroid cancer. Rev Chil Cir [online]. 2009, vol.61, n.1, pp. 21-26. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262009000100004.
Background: In chüdhood, thyroid cáncer is uncommon and has a different biological behavior than in adults. Aim: To analyze the surgical experience in thyroid cáncer in children. Material and Methods: Review of medical records of patients aged 15 years or less with a thyroid cáncer, operated in a Regional hospital between 1980 and 2007. Results: Six females and 2 males, aged 9 to 15 years, were operated in the study period. Five had a family history of thyroid diseases. Four had involvement of cervical lymph nodes at the moment of operation but none had systemic dissemination. All were euthyroid. A total thyroidectomy was performed in four patients. Cervical lymph node dissection was also performed in four patients. No immediate complications were recorded. One patient had a local relapse. Five patients were also treated with radioiodine. At the end of the follow up ranging from 108 to 320 months, all patients are asymptomatic. The pathological study disclosed a papillary carcinoma in seven and medullary carcinoma in one patient. Conclusions: Thyroid cáncer in chüdhood has low mortality rates and surgical treatment is safe and effective.
Palabras clave : Thyroid cáncer; thyroidectomy; childhood.