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Pediatric Thyroidectomy: Experience From a Portuguese Hospital
Background and objective Pediatric thyroid disease requiring surgery is rare. Thyroid nodules are a frequent indication for surgery and are mostly benign. However, up to 25% of cases can be malignant. In this study, we aimed to describe our center’s experience with regard to pediatric thyroid surger...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9891316/ https://www.ncbi.nlm.nih.gov/pubmed/36741645 http://dx.doi.org/10.7759/cureus.33259 |
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author | Vieira, Paula Manuel Barbosa Sequeira, Joana Santos Monteiro, Sílvia De Carvalho Vaz, Ana da Silva Cardoso, Juliana Ribeiro, Luís Mendes, Catarina Freitas, Joana Ribeiro de Castro, João Borges, Teresa Oliveira, Maria João |
author_facet | Vieira, Paula Manuel Barbosa Sequeira, Joana Santos Monteiro, Sílvia De Carvalho Vaz, Ana da Silva Cardoso, Juliana Ribeiro, Luís Mendes, Catarina Freitas, Joana Ribeiro de Castro, João Borges, Teresa Oliveira, Maria João |
author_sort | Vieira, Paula Manuel |
collection | PubMed |
description | Background and objective Pediatric thyroid disease requiring surgery is rare. Thyroid nodules are a frequent indication for surgery and are mostly benign. However, up to 25% of cases can be malignant. In this study, we aimed to describe our center’s experience with regard to pediatric thyroid surgery. Methods This was a retrospective transverse study involving pediatric patients who underwent thyroid surgery at a tertiary hospital between January 2010 and December 2021. Results A total of 14 patients underwent 15 surgeries. The main reason for referral to pediatric endocrinology was thyroid nodules (n=10). Thirteen fine needle aspirations (FNAs) were performed, with follicular tumor (n=6) being the most common finding. The median age of patients at surgery was 15.9 years [interquartile range (IQR): 14.0-16.8]. The most common surgical indications were the presence of a follicular tumor on FNA (n=5) and thyroid nodule size causing symptoms (n=5). There was one case of prophylactic thyroidectomy due to the identification of a multiple endocrine neoplasia type 2A (MEN2A) mutation. The most frequently described histopathology results were follicular adenoma (n=6) and colloid nodular goiter (n=6). Three postoperative complications were observed in three different patients: bilateral lesion of the recurrent laryngeal nerve, cervical hematoma, and transient hypoparathyroidism with hypocalcemia. Conclusion In our study, the most frequent surgical indication was a follicular tumor. A good correlation was found between FNA cytology and final histopathology results, which is in accordance with previous studies. This reinforces the importance of FNA in diagnosis and surgical planning. The rate of complications in our study is comparable to that in larger single-center series in the literature. |
format | Online Article Text |
id | pubmed-9891316 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-98913162023-02-02 Pediatric Thyroidectomy: Experience From a Portuguese Hospital Vieira, Paula Manuel Barbosa Sequeira, Joana Santos Monteiro, Sílvia De Carvalho Vaz, Ana da Silva Cardoso, Juliana Ribeiro, Luís Mendes, Catarina Freitas, Joana Ribeiro de Castro, João Borges, Teresa Oliveira, Maria João Cureus Endocrinology/Diabetes/Metabolism Background and objective Pediatric thyroid disease requiring surgery is rare. Thyroid nodules are a frequent indication for surgery and are mostly benign. However, up to 25% of cases can be malignant. In this study, we aimed to describe our center’s experience with regard to pediatric thyroid surgery. Methods This was a retrospective transverse study involving pediatric patients who underwent thyroid surgery at a tertiary hospital between January 2010 and December 2021. Results A total of 14 patients underwent 15 surgeries. The main reason for referral to pediatric endocrinology was thyroid nodules (n=10). Thirteen fine needle aspirations (FNAs) were performed, with follicular tumor (n=6) being the most common finding. The median age of patients at surgery was 15.9 years [interquartile range (IQR): 14.0-16.8]. The most common surgical indications were the presence of a follicular tumor on FNA (n=5) and thyroid nodule size causing symptoms (n=5). There was one case of prophylactic thyroidectomy due to the identification of a multiple endocrine neoplasia type 2A (MEN2A) mutation. The most frequently described histopathology results were follicular adenoma (n=6) and colloid nodular goiter (n=6). Three postoperative complications were observed in three different patients: bilateral lesion of the recurrent laryngeal nerve, cervical hematoma, and transient hypoparathyroidism with hypocalcemia. Conclusion In our study, the most frequent surgical indication was a follicular tumor. A good correlation was found between FNA cytology and final histopathology results, which is in accordance with previous studies. This reinforces the importance of FNA in diagnosis and surgical planning. The rate of complications in our study is comparable to that in larger single-center series in the literature. Cureus 2023-01-02 /pmc/articles/PMC9891316/ /pubmed/36741645 http://dx.doi.org/10.7759/cureus.33259 Text en Copyright © 2023, Vieira et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Endocrinology/Diabetes/Metabolism Vieira, Paula Manuel Barbosa Sequeira, Joana Santos Monteiro, Sílvia De Carvalho Vaz, Ana da Silva Cardoso, Juliana Ribeiro, Luís Mendes, Catarina Freitas, Joana Ribeiro de Castro, João Borges, Teresa Oliveira, Maria João Pediatric Thyroidectomy: Experience From a Portuguese Hospital |
title | Pediatric Thyroidectomy: Experience From a Portuguese Hospital |
title_full | Pediatric Thyroidectomy: Experience From a Portuguese Hospital |
title_fullStr | Pediatric Thyroidectomy: Experience From a Portuguese Hospital |
title_full_unstemmed | Pediatric Thyroidectomy: Experience From a Portuguese Hospital |
title_short | Pediatric Thyroidectomy: Experience From a Portuguese Hospital |
title_sort | pediatric thyroidectomy: experience from a portuguese hospital |
topic | Endocrinology/Diabetes/Metabolism |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9891316/ https://www.ncbi.nlm.nih.gov/pubmed/36741645 http://dx.doi.org/10.7759/cureus.33259 |
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