Tersiyer bir hastanede çocukluk çağı tiroidektomi sonuçları


İşcan A. Y. , Sormaz İ. C. , Batman B., Yegen G. , Önder S. , Tunca F. , ...Daha Fazla

Türk katılımlı Yunanistan Cerrahi Kongresi, Athens, Yunanistan, 22 - 24 Kasım 2019, ss.25

  • Basıldığı Şehir: Athens
  • Basıldığı Ülke: Yunanistan
  • Sayfa Sayıları: ss.25

Özet

Aim:

Aim of the study is to evaluate the outcomes of thyroidectomies in pediatric population in our faculty.

Material & Methods: Medical records of 107 patients under 18 years old underwent thyroid surgery between

January 1987 and March 2019 in Istanbul Faculty of Medicine was evaluated.

Results:

The mean age is 13.7 ± 3.9 (4-18) and the gender distribution (F / M) is 75/32 (70.1% / 29.9%). The median

follow-up was 75 months (2-390). 77 (72%) patients had thyroid papillary cancer diagnosis, 17 (15.9%)

patients underwent prophylactic thyroidectomy for MEN2A, 12 (11.2%) patients had benign pathology after

thyroidectomy due to suspicion of malignancy and 1 (0.9%) patient was Graves disease. 77 patients with

papillary thyroid cancer had a mean age of 14.8 ± 3.2 years and gender distribution (F / M) of 60/17 (78% /

22%). The mean tumor diameter was 1.83 ± 1.11 cm. 23 (29.8%) cases were diagnosed as thyroid papillary

microcancer. The extent of surgery was 68 (88.3%) total thyroidectomy, 7 (9.1%) near-total thyroidectomy

and 2 (2.6%) lobectomy were found. 34 (44.1%) patients underwent central dissection, 26 (33.7%) were

bilateral and 8 (10.3%) were ipsilateral. 23 (29.8%) lateral dissection was performed in primary surgery. Eleven

(14.2%) patients underwent secondary surgical procedures for central or lateral recurrence.

Conclusions:

Thyroidectomy is very rare in pediatric population and is often performed with the diagnosis of papillary

thyroid cancer. As in adults, long-term follow-up is required for recurrent cases.