| Twelves Cases of Thyroid Carcinoma in Children. |
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Yong Woo Choi, Myung Ho Cho, O Kyung Lee, Myung Ho Lee |
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Department of Pediatrics, Presbyterian Medical Center, Chonju |
| 소아 갑상선암 12례 |
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최용우, 조명호, 이오경, 이명호 |
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전주예수병원 소아과 |
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| Abstract |
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We obtained following results by analysis of 12 cases of thyroid carcinoma in patient under 15 years of age who were admitted to Presbyterian Medical Center, Chon-ju from January 1975 to December 1984.
1) The ratio between male and female patients was 1 : 3. Patients over 12 years of age totalled 7 cases(58.3%). The youngest patient was 5 years and 5 months of age. 2) The most common symptoms and signs were palpable mass in the anterior neck (all cases). The next in order of frequency were cervival lymphadenopathy(41.7%), palpitation (25%), dyspnea and hoarseness. 3) The locations of the lesions were 16.7% in right lobe, 25% in left lobe, 58.3%, in both lobe. 33% of thyroid carcinoma patients had nodularity of the thyroid gland. 4) Thyroid scanning revealed cold nodules in 91.7% of cases and warm nodules in 8.3%. 5) Pathologic types of thyroid carcinoma were as follows; papillary adenocarcinoma, 66.7 % follicular adenocarcinoma, 25% and mixed type, 8.3%. 6) The types of operation these patients had were follows: radical neck dissection & total thyroidectomy, 41.7% left or right thyroidectomy & modified neck dissection, 50% and right thyroidectomy only, 8.3%. Thyroxine was used in all cases after operation. Calcium supplements were necessary in 5 cases(41.7%). I181 irradiation was used in combination with surgery in 2 cases. One case with lung metastasis expired within 1 year after visiting our hospital. 9 cases were observed and followed for an average of 4 years 7 months until December 1984.
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| Key Words:
Thyroid carcinoma, Children, pathologic types. |
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