Childhood Thyroid Carcinoma

摘要: Twenty-nine (50%) of 58 children with thyroid carcinoma received previous ionizing radiation to the head and neck. The average interval diagnosis was 9.6 years. Fifty-six carcinomas were either papillary, follicular, or mixed differentiated tumors. Two medullary amyloid struma. There no undifferentiated carcinomas. Cervical lymphatic metastases present in 88%. Local infiltration tumor occurred 31% pulmonary 19%. Fifty-one patients (88%) have undergone total thyroidectomy. Forty-eight underwent lymph node excisions ranging from plucking bilateral modified radical neck dissections. Sodium iodide I 131 administered therapeutic doses 49 our series. mortality 5.2%. deaths those who thyroidectomy appropriate regional dissection, sodium when indicated on basis follow-up scans.