| A clinical study on the thyroid nodule in childhood. |
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Yong Ju Kim, Ki Young Cheong, Jong Jin Seo, Young Hun Chung |
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Department of Pediatrics, College of Medicine, Chungnam National University, Taejeon, Korea |
| 소아 갑상선결절에 대한 임상적 고찰 |
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김용주, 정기영, 서종진, 정용현 |
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충남대학교 의과대학 소아과학교실 |
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Received: 23 January 1991 • Accepted: 13 March 1991 |
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| Abstract |
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A clinical study was carried out in 27 children with thyroid nodule who visited the Dept, of
pediatrics, Chungnam National University Hospital during the 4 year period from March 1986 to
February 1990.
The results are as follows;
1) The most frequent age group was between 10 to 15 year, and the mean age was 10.65 ±3.19 year.
The male to female ratio was 1:4.4
2) All patients complained of asymptomatic neck mass, and fatigue in 4 cases (14.8%), palpitation
in 3 cases (11.1%), tenderness on mass in 2 cases (7.4%), and lymphadenopathy in 2 cases (7.4%).
3) The nodules of 14 cases (51.9%) were in the right lobe, 8 cases (29.6%) in the left lobe, 4 cases
(14.8%) in both lobe and 1 case (3.7%) in isthmus.
4) The diameter of nodule was less than 1 cm in 2 cases (7.4%), 1-3 cm in 15 cases (55.6%), 3-6 cm
in 9 cases (33.3%), and over 6 cm in 1 case (3.7%).
5) 63% of patients revealed euthyroid function, and the remained 37% revealed various mild
abnormalities in thyroid function.
6) Most patients (91.7%) had neither AMA nor ATA.
7) ‘Cold’ nodule was revealed in 13(56.5%) of 23 cases, ‘warm’ in 8 cases (34.8%), and ‘hot’ in 2 cases
(8.7%). 23.1% of ‘cold’ nodules were papillary carcinoma.
8) Among the 19 histologically proven thyroid nodules,，78.9% was benign and 21.1% was
malignant. The malignant nodules were all pailllary carcinoma.
9) 4 cases of papillary carcinoma and 2 cases of adenoma received thyroidectomy, and 67.9% of all
cases received thyroxine medication. |
| Key Words:
Thyroid, Nodule |
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