Tiroid Karsinomlu Çocuk ve Adölesan Hastalarda Klinik Özelikler ve Prognoz: Tek Merkez Deneyimi

Objective: Thyroid carcinomas are rare in childhood and adolescence. This study was conducted to evaluate the clinical features and outcomes in children and adolescents with thyroid carcinoma at our center. Material and Methods: Twelve children and adolescents treated for thyroid carcinoma in our departments from 2004 to 2014 were included in the study. Results: Papillary carcinoma was found in 9 patients and follicular carcinoma in 3 patients. Neck swelling was the most common chief complaint. At the time of surgery, one patient (8%) had cervical lymph node metastasis, and one (8%) had angioinvasion. No patients had lung metastasis. Total thyroidectomy was performed in 4 patients, ipsilateral total and contralateral subtotal thyroidectomy in 5 patients, partial thyroidectomy in 2 patients and thyroglossal duct cyst excision in one patient. Eight patients (66%) required 131I ablation for residual or metastatic disease after thyroidectomy. At the time of this report, all patients were alive without recurrence. Conclusion: According to our data, children and adolescents with thyroid carcinoma have a good prognosis and benefit from total or near-total thyroidectomy followed by radioiodine therapy. Future prospective studies are required to clarify the short- and long-term side effects of treatment approaches.