Evaluation and management of thyroid nodules in children

被引:22
作者
Bauer, Andrew J. [1 ]
Francis, Gary L. [2 ]
机构
[1] Univ Penn, Childrens Hosp Philadelphia, Div Endocrinol & Diabet, Perelman Sch Med, Philadelphia, PA 19104 USA
[2] Univ Penn, Dept Pediat, Perelman Sch Med, Philadelphia, PA 19104 USA
关键词
cancer; child; nodule; thyroid; FINE-NEEDLE-ASPIRATION; DIFFUSE SCLEROSING VARIANT; LEVOTHYROXINE SUPPRESSIVE THERAPY; SERUM THYROTROPIN CONCENTRATION; FAMILIAL ADENOMATOUS POLYPOSIS; CHILDHOOD-CANCER SURVIVOR; TERT PROMOTER MUTATIONS; PAPILLARY CARCINOMA; CLINICAL CHARACTERISTICS; FOLLOW-UP;
D O I
10.1097/MOP.0000000000000364
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose of reviewThe review is focused on new information about the presentation and management of thyroid nodules in children and adolescents.Recent findingsPalpable thyroid nodules are uncommon in children but many children have nodules detected by radiologic imaging. How to evaluate them, when to suspect thyroid cancer, and how best to follow apparently benign nodules has become an area of great interest. The American Thyroid Association recently published treatment guidelines for children with thyroid nodules and cancers but much has been learned since that publication.SummaryPersonal and family history, ultrasound features, and fine needle aspiration cytology are used to determine the risk of cancer in thyroid nodules, which are then managed according to cancer risk.
引用
收藏
页码:536 / 544
页数:9
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