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Thyroid surgery in children: a single-center experience of 20 years.
Bahadir, Kutay; Ural, Selin; Abdullayev, Javid; Karaman, Abdurrahman; Parlak, Mesut; Boz, Adil; Karaguzel, Gungor.
Afiliación
  • Bahadir K; Akdeniz University, School of Medicine, Department of Pediatric Surgery - Antalya, Turkey.
  • Ural S; Akdeniz University, School of Medicine, Department of Pediatric Surgery - Antalya, Turkey.
  • Abdullayev J; Akdeniz University, School of Medicine, Department of Pediatric Surgery - Antalya, Turkey.
  • Karaman A; Akdeniz University, School of Medicine, Department of Pediatric Surgery - Antalya, Turkey.
  • Parlak M; Akdeniz University, School of Medicine, Department of Pediatric Endocrinology - Antalya, Turkey.
  • Boz A; Akdeniz University, School of Medicine, Department of Nuclear Medicine - Antalya, Turkey.
  • Karaguzel G; Akdeniz University, School of Medicine, Department of Pediatric Surgery - Antalya, Turkey.
Rev Assoc Med Bras (1992) ; 70(7): e20240001, 2024.
Article en En | MEDLINE | ID: mdl-39045933
ABSTRACT

OBJECTIVE:

Thyroidectomy is a relatively uncommon procedure in pediatric patients. We aimed to review our 20-year experience of thyroid surgery.

METHODS:

A total of 39 patients who underwent thyroid surgery from 2003 to 2023 were retrospectively evaluated. All patients were followed preoperatively and postoperatively by our institutional multidisciplinary board. Patients were divided into two groups based on their pathologies benign and malignant.

RESULTS:

In total, 39 patients (27 girls and 12 boys) underwent 47 thyroid surgeries (total thyroidectomy in 19 patients and subtotal thyroidectomy in 20 patients, with 8 of them having completion thyroidectomy). Notably, 20 (51%) patients had benign and 19 (49%) patients had malignant pathologies. Median age at operation was 157 (9-223) months in the benign group and 182 (1-213) months in the malignant group. In the benign group, 12 (60%) patients had colloidal goiter and 8 (40%) patients had other conditions. In the malignant group, 12 (63%) patients had papillary thyroid carcinoma, 3 (16%) patients had follicular thyroid carcinoma, 2 (11%) had medullary thyroid carcinoma, and 2 patients had other thyroid malignancies. Overall permanent complication rate was 2 out of 39 (5%), which was similar for both groups (1 hypocalcemia in each group). The median follow-up was 38 months (1-179 months) with no local recurrence or distant metastasis.

CONCLUSION:

Pediatric thyroidectomies are performed on a heterogeneous group of pediatric patients due to a diverse group of pathologies. A multidisciplinary approach is required for proper initial management and surgical strategy with decreased complication rate and event-free survival of these patients in experienced tertiary centers.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tiroidectomía / Neoplasias de la Tiroides Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Rev Assoc Med Bras (1992) Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tiroidectomía / Neoplasias de la Tiroides Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Rev Assoc Med Bras (1992) Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil