Differentiated Thyroid Cancer in childhood

被引:3
作者
Leboulleux, Sophie [1 ]
Hartl, Dana [2 ]
Baudin, Eric [1 ]
Schlumberger, Martin [1 ]
机构
[1] Univ Paris 11, Inst Gustave Roussy, Serv Med Nucl & Cancerol Endocrinienne, F-94805 Villejuif, France
[2] Inst Gustave Roussy, Serv Chirurg, F-94805 Villejuif, France
关键词
differentiated thyroid cancer; childhood; diagnosis; prognosis; treatment; SUBSEQUENT MALIGNANT NEOPLASMS; CHILDREN; CARCINOMA; RADIATION; ADOLESCENTS; RISK; LOCALIZATION; RECURRENCE; MANAGEMENT; MUTATIONS;
D O I
10.1684/bdc.2012.1645
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Thyroid carcinoma is a rare disease in children, and is mostly of the papillary histological type. Lymph node metastases are frequent at diagnosis, being present in 23 to 74% of the cases and can reveal the cancer in about one fourth of cases. Lung metastases are present at initial diagnosis in 6 to 20% of cases. The main known risk factor for thyroid cancer is a previous history of radiation exposure. Treatment includes surgery with total thyroidectomy and lymph node dissection and radioiodine therapy in case of extensive disease and distant metastases. Life-long thyroxine treatment is given to all patients. Long term prognosis is favourable, but thyroid cancer related deaths have been reported some decades after initial treatment.
引用
收藏
页码:1093 / 1099
页数:7
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