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KMID : 0371319960500010122
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Journal of the Korean Surgical Society
1996 Volume.50 No. 1 p.122 ~ p.130
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Management of Thyroid Nodules in Childrne
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Abstract
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The solitary thyriod nodule is an uncommon entity in the pediatric age group. Thyroid nodules are less common in children than in adults and their management is still controversal. We reviewed the medical records of sixty children younger than 18
years
of age who had thyroid nodules removed surgically between April, 1980 and June, 1993. The prevalant sex was female and the ration of male to female was 1:4. The most common clinical finding was a mass on the anterior aspect of the neck. A nuclear
medicine scan showed 14 of the 48 cold nodules were malignant(29.1%). The histopathologic classification of the 560 patients revealed follicular adenoma in 24 patients(40%). nodular hyperplasia in 20(33.3%), Hashimoto's thyroiditis in 1(1.7%),
follicular carcinoma in 8(13.3%), and papillary carcinoma in 7(11.7%). The most comon thyroid nodule was a follicular adenoma (24 patients, 50%). The most common operative procedure for benign nodules was lobectomy(35.6%) or lobectomy with
isthmectomy(37.7%). Total thyroidectomy(40%) or ner total thyroidectomy with lymph node dissection(33%) was most commonly performed for malignant nodules. These findings suggest that more aggressive surgical treatment is necessary for children
who
have
a cold thyroid nodule because of an increased probability of malignancy.
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KEYWORD
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