Thyroid cancer in children: Report of three cases and a review of the Japanese literature

被引:2
作者
Matsuura, K
Ogata, T
Araki, K
Kaneko, A
Kobayashi, M
Sugimoto, T
机构
[1] First Department of Surgery, Kochi Medical School, Nankoku, Kochi 783, Okohcho
来源
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1997年 / 27卷 / 10期
关键词
thyroid cancer in children; childhood thyroid cancer; thyroid carcinoma; fine-needle aspiration biopsy (FNAB);
D O I
10.1007/BF02388147
中图分类号
R61 [外科手术学];
学科分类号
摘要
We experienced three cases of thyroid cancer in children less than 15 years of age between 1982 and 1995. We herein present these three cases with a review of 141 reported cases of childhood thyroid cancer in Japan, Our patients were 6, 13, and 14 gears old. The patients, all girls, were diagnosed as having thyroid cancer based on diagnostic imaging. One of them was also diagnosed by a fine-needle aspiration biopsy (FNAB). One of them underwent subtotal thyroidectomy, and the other two underwent lobectomy. Modified neck dissections were performed on all three, Pathologically, the tumors were all papillary carcinomas, Multiple lymph node metastases were present in all patients. However, the postoperative courses have been good, and there have been no signs of recurrence, 10, 8, and 2 years after their respective operations, In 144 reported cases of childhood thyroid cancer in Japan including ours, the youngest patient was a 2-year-old boy, and the female to male ratio was 2.1:1. FNAB was performed in 25 cases, and 23 (92%) of the tumors were diagnosed as malignant. Histologically, 76% were papillary carcinoma and 20% follicular carcinoma. At operation, lymph node metastases were found in 80% of the cases, and lung metastases in 17%. For treatment, 88% of the patients received a more extensive operation than a lobectomy. Of the 144 patients, 8 died.
引用
收藏
页码:961 / 965
页数:5
相关论文
共 21 条
[1]  
CECCARELLI C, 1988, SURGERY, V104, P1143
[2]   DIFFERENTIATED THYROID-CANCER IN CHILDREN [J].
DEKEYSER, LFM ;
VANHERLE, AJ .
HEAD & NECK SURGERY, 1985, 8 (02) :100-114
[3]   CARCINOMA OF THE THYROID IN CHILDREN [J].
HAYLES, AB ;
JOHNSON, LM ;
BEAHRS, OH ;
WOOLNER, LB .
AMERICAN JOURNAL OF SURGERY, 1963, 106 (05) :735-743
[4]  
KODAMA T, 1986, JPN J CANCER RES, V77, P799
[5]  
KOSHIBA S, 1994, DONAN IGAKKAI ZASSHI, V29, P98
[6]  
LAQUAGLIA MP, 1988, SURGERY, V104, P1149
[7]  
MIMURA T, 1991, RINSYOU GEKA, V46, P1327
[8]  
MIYAKAWA M, 1985, SHOUNI GEKA, V17, P719
[9]  
OTSUKA K, 1994, NIPPON SYOUNI GEKA G, V30, P152
[10]  
RAAB SS, 1995, PEDIATRICS, V95, P46