CLINICOPATHOLOGICAL CHARACTERISTICS AND EARLY RESULTS OF SURGICAL TREATMENT FOR PEDIATRIC THYROID CANCER AT NATIONAL HOSPITAL ENDOCRINOLOGY
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Abstract
Thyroid cancer remains a rare malignancy in the pediatric population, comprising 0.7% of all childhood cancers, and the overall incidence of thyroid cancer is increasing. Objective: To evaluate the clinical, paraclinical, and early results of surgical treatment for pediatric thyroid cancer. Subjects: including 85 children who operated at national hospital endocrinology from January 2018 to
December 2020. Research method: A retrospective study. Results: Mean age of patients were 15.02±3.098 (range 3-18 years), the rate female was 82.4%, the
most cases were not symptoms (83.5%), 56.5% of patients was larger than 2cm, nineteen patients have extracapsular nodules, 2 patients were suspended lung metastasis. 85.9% of patients operated on thyroidectomy and/or neck dissection. The proportion of centre neck lymp node metastasis and lateral neck metastasis were 55.3% and 36.6%. Univariate logistic regression demonstrated that: centre neck lymp node metastasis and lateral neck metastasis were associated with tumor size ≥ 2cm, extracapsular, lymph node suspends US. The most complications were temporary hypoparathyroidism (17.6%), temporary recurrent laryngeal nerve injury (10.6%), four patients were chyle fi stular (one
was reoperated).
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Keywords
Pediatric thyroid cancer, thyroidectomy.
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