All issues > Volume 29(6); 1986

Original Article

J Korean Pediatr Soc. 1986;29(6):661-667. Published online June 30, 1986.

Twelves Cases of Thyroid Carcinoma in Children.

Yong Woo Choi¹, Myung Ho Cho¹, O Kyung Lee¹, Myung Ho Lee¹

¹Department of Pediatrics, Presbyterian Medical Center, Chonju

Abstract

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.

Keywords :Thyroid carcinoma; Children; pathologic types.