Thyroid Carcinoma in Patients Less Than 20 Years of Age at Diagnosis: Clinicopathologic Characteristics.
10.16956/kjes.2009.9.4.211
- Author:
Phil Young JUNG
1
;
A Ri HAN
Author Information
1. Department of Surgery, Wonju Christian Hospital, Yonsei University College of Medicine, Wonju, Korea. Arihan@yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Thyroid carcinoma;
Young patients;
Clinicopathologic characteristics
- MeSH:
Diagnosis*;
Female;
Follow-Up Studies;
Humans;
Iodine;
Male;
Neoplasm Metastasis;
Recurrence;
Retrospective Studies;
Thyroid Gland*;
Thyroid Neoplasms*;
Thyroidectomy
- From:Korean Journal of Endocrine Surgery
2009;9(4):211-213
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study determined the clinicopathologic characteristics in young patients with thyroid carcinoma. METHODS: We retrospectively reviewed the records of 39 patients who were <20 years of age when diagnosed between January 1985 and December 2008. RESULTS: The mean age was 17.28 years (range, 4~20 years). There were 33 females and 6 males, with a mean follow-up period of 110 months (range, 1~263 months). The initial surgery consisted of total thyroidectomy in 29 patients (74%), and lobectomy and isthmectomy in 10 patients (25%). The mean size of the tumors was 2.56 cm (range 0.4~7 cm), and 31 (79%) of 39 patients had perithyroidal tissue invasion. Papillary and follicular carcinoma was reported in 31 (79%) and 6 patients (15%), respectively. Three patients had a recurrence and no patients had progression of metastasis at the time of diagnosis. CONCLUSION: Further collaborative studies are needed to refine the surgical approach, particularly the extent of lymph-node dissection, radioactive iodine dosing, and clinical approach.