Introduction to the management guideline for children with thyroid nodules and differentiated thyroid cancer
10.3760/cma.j.issn.1000-6699.2016.04.001
- VernacularTitle:2015年美国甲状腺学会儿童甲状腺结节与分化型甲状腺癌管理指南的介绍
- Author:
Xin HU
;
Chunrui LI
;
Shuhang XU
;
Chao LIU
- Publication Type:Journal Article
- Keywords:
Children;
Differentiated thyroid cancer;
Guideline;
Treatment
- From:
Chinese Journal of Endocrinology and Metabolism
2016;32(4):265-268
- CountryChina
- Language:Chinese
-
Abstract:
Although children with differentiated thyroid cancer ( DTC) are in a high proportion of cure, due to the absence of the standard management of the evaluation, treatment and follow-up of children with thyroid neoplasia, the aggressive therapy including total thyroidectomy followed by radioactive iodine ( RAI) ablation with iodine-131 ( 131 I) could not be ignored. For the majority of children, total or near-total thyroidectomy is recommended. Central neck dissection is recommended for children with malignant cytology and clinical evidence of gross extrathyroidal invasion and/or loco-regional metastasis on pre-operative. Selective use of 131 I in children with DTC was based on pre-and post-operative staging. Multi-disciplinary collaborative management is needed to improve their outcomes and to minimize adverse effects as far as possible.
