e-Article
대한갑상선학회 갑상선분화암 진료권고안; Part V. 소아 갑상선분화암 2024
Korean Thyroid Association Guidelines on the Management of Differentiated Thyroid Cancers; Part V. Pediatric Differentiated Thyroid Cancer 2024
Korean Thyroid Association Guidelines on the Management of Differentiated Thyroid Cancers; Part V. Pediatric Differentiated Thyroid Cancer 2024
Document Type
Article
Author
문정은 / Jung-eun Moon; 오소원 / So Won Oh; 강호철 / Ho-cheol Kang; 구본석 / Bon Seok Koo; 김근영 / Keunyoung Kim; 김선욱 / Sun Wook Kim; 김원웅 / Won Woong Kim; 김정한 / Jung-han Kim; 나동규 / Dong Gyu Na; 박소현 / Sohyun Park; 박영주 / Young Joo Park; 박준욱 / Jun-ook Park; 방지인 / Ji-in Bang; 백교림 / Kyorim Back; 서영덕 / Youngduk Seo; 송영신 / Young Shin Song; 우승훈 / Seung Hoon Woo; 원호륜 / Ho-ryun Won; 유창환 / Chang Hwan Ryu; 이상우 / Sang-woo Lee; 이은경 / Eun Kyung Lee; 이준협 / Joon-hyop Lee; 이지은 / Jieun Lee; 이초록 / Cho Rok Lee; 임동준 / Dong-jun Lim; 임재열 / Jae-yol Lim; 정아리 / Ari Chong; 정윤재 / Yun Jae Chung; 홍채문 / Chae Moon Hong; 권형주 / Hyungju Kwon; 이영아 / Young Ah Lee
Source
International Journal of Thyroidology. May 31, 2024 17(1):193
Subject
Language
Korean
English
English
ISSN
2384-3799
Abstract
Pediatric differentiated thyroid cancers (DTCs), mostly papillary thyroid cancer (PTC, 80-90%), are diagnosed at more advanced stages with larger tumor sizes and higher rates of locoregional and/or lung metastasis. Despite the higher recurrence rates of pediatric cancers than of adult thyroid cancers, pediatric patients demonstrate a lower mortality rate and more favorable prognosis. Considering the more advanced stage at diagnosis in pediatric patients, preoperative evaluation is crucial to determine the extent of surgery required. Furthermore, if hereditary tumor syndrome is suspected, genetic testing is required. Recommendations for pediatric DTCs focus on the surgical principles, radioiodine therapy according to the postoperative risk level, treatment and follow-up of recurrent or persistent diseases, and treatment of patients with radioiodine-refractory PTCs on the basis of genetic drivers that are unique to pediatric patients.