中国当代儿科杂志2011，Vol.13Issue(9)：736-739,4.
儿童甲状腺肿瘤的临床特征及诊治体会
Clinical features and experience of diagnosis and treatment of thyroid neoplasm in children
常实 1邓桢翰 2董超 1张志鹏 1廖辉军 1王志明1
作者信息
- 1. 中南大学湘推医院普外科,湖南,长沙,410008
- 2. 中南大学湘稚医学院,湖南,长沙,410078
- 折叠
摘要
Abstract
Objective To study the clinical features, diagnosis and therapy of thyroid neoplasm in children. Methods A retrospective study was performed on 32 children with thyroid nodular who were underwent operation in Xiangya Hospital between January 2002 and December 2010. Results Of the 32 cases, there were 23 girls and 9 boys. Six cases were diagnosed as nodular Goiter adenoma and 26 cases were diagnosed as thyroid papillary carcinoma. B-ultrasonic examination showed a 100% accurate rate for the diagnosis of thyroid carcinoma. Fourteen children (44%,) were proven to have concurrent Hashimoto's thyroiditis. Twenty-two (69% ) children with thyroid carcinoma were found to have lymph metastasis in the lateral neck. The children younger than 10 years showed a high rate of metastasis than those older one (94% vs 56% , P < 0.05 ). All 32 children received a surgical therapy. Subtotal thyroidectomy was performed on the 6 children with nodular Goiter adenoma. Total thyroidectomy (17 cases) or ipsilateral thyroidectomy (9 cases) was performed according to the stage of thyroid carcinoma. The surgical outcomes were followed up for 3 months to 9 years and no recurrence or death occurred. The development and growth were normal in the children. Conclusions Childhood thyroid nodular attacks girls more than boys, and the frequency of malignancy is high. Hashimoto's thyroiditis is a common concurrent disease. The incidence of local lymph metastasis is high in those younger than 10 years. The surgical therapy for thyroid neoplasm may lead satisfactory outcomes in children.关键词
甲状腺肿瘤/诊断/治疗/桥本氏甲状腺炎/儿童Key words
Thyroid neoplasm/ Diagnosis/ Therapy/ Thyroiditis/ Child分类
医药卫生引用本文复制引用
常实,邓桢翰,董超,张志鹏,廖辉军,王志明..儿童甲状腺肿瘤的临床特征及诊治体会[J].中国当代儿科杂志,2011,13(9):736-739,4.
