학술논문
Outcome and complications after surgery for thyroid carcinoma in pediatric age—an evaluation of practice
Document Type
article
Source
World Journal of Surgical Oncology, Vol 20, Iss 1, Pp 1-7 (2022)
Subject
Language
English
ISSN
1477-7819
Abstract
Abstract Objectives To discuss management protocol, surgical complications, and outcomes of thyroid carcinoma in children. Methods We performed a retrospective analysis including all pediatric patients with thyroid carcinoma who were managed at our institution between January 2011 and January 2021. Data were analyzed regarding demographics, clinical features, operative details, postoperative complications, and survival data. Results Thirty-two patients were identified; 26 females (81.25%) and 6 males (18.75%). The median age at operation was 14 years (range: 5–18). Twenty-six (81.25%) patients presented with palpable thyroid swelling. Median tumor size was 3 cm (range: 1–7). Metastatic workup did not detect any pulmonary metastases. Total thyroidectomy was performed in 25 patients (78%), and 16 of them underwent additional bilateral neck dissection (16 had central nodal dissection, and 7 had both central and lateral nodal dissection). Seven patients (22%) underwent hemithyroidectomy, and only one of them had a completion thyroidectomy after 2 weeks. Conservative resection was adopted in six children with similar criteria (tumor size