PDF(Pubmed)
Abstract：
UNASSIGNED: The prevalence of thyroid carcinoma (TC) among pediatric and adolescent populations is infrequent, yet its global occurrence is escalating. Insufficient information pertaining to TC in the pediatric populace of Indonesia presents issues in the identification and management of patients with this condition. The objective of this study is to provide a detailed account of a collection of pediatric TC cases that were recorded at a tertiary care center throughout an extended interval of eight years.
UNASSIGNED: The present study conducted a retrospective data analysis of ten patients who received a diagnosis of TC during the period spanning from 2014 to 2022. The present study focused on analyzing the clinical manifestation, diagnostic measures, treatment modalities, and immediate postoperative consequences of TC. All patients diagnosed with thyroid cancer exhibited the presence of neck lump. Nine patients underwent total thyroidectomy, while one patient underwent isthmolobectomy. The histopathologic evaluation confirmed the diagnosis of thyroid cancer in every individual. There were a significant number of patients, up to 50%, who encountered complications after undergoing surgery. Two patients reported the hoarseness of voice, whereas two other patients experienced the signs of hypocalcemia. Only one patient exhibited both these symptoms simultaneously.
UNASSIGNED: The implementation of total thyroidectomy as a surgical intervention in pediatric patients poses a notable challenge. Postoperative monitoring for potential complications following surgery for total thyroidectomy is imperative.
UNASSIGNED: The current study provides evidence that the utilization of total thyroidectomy in combination with lymph node dissection as indicated in patients with lymph node metastases in pediatric patients with thyroid carcinoma leads to a significant reduction in the probability of recurrence of lymph node enlargement. During the performance of surgical procedures, meticulous observation plays a key role in mitigating the risk of postoperative complications, such as hypoparathyroidism, hypocalcemia, and injury to the recurrent laryngeal nerve. Thus, it is imperative to conduct follow-up procedures for post-surgical interventions among pediatric patients diagnosed with TC.
UNASSIGNED: The present study conducted a retrospective data analysis of ten patients who received a diagnosis of TC during the period spanning from 2014 to 2022. The present study focused on analyzing the clinical manifestation, diagnostic measures, treatment modalities, and immediate postoperative consequences of TC. All patients diagnosed with thyroid cancer exhibited the presence of neck lump. Nine patients underwent total thyroidectomy, while one patient underwent isthmolobectomy. The histopathologic evaluation confirmed the diagnosis of thyroid cancer in every individual. There were a significant number of patients, up to 50%, who encountered complications after undergoing surgery. Two patients reported the hoarseness of voice, whereas two other patients experienced the signs of hypocalcemia. Only one patient exhibited both these symptoms simultaneously.
UNASSIGNED: The implementation of total thyroidectomy as a surgical intervention in pediatric patients poses a notable challenge. Postoperative monitoring for potential complications following surgery for total thyroidectomy is imperative.
UNASSIGNED: The current study provides evidence that the utilization of total thyroidectomy in combination with lymph node dissection as indicated in patients with lymph node metastases in pediatric patients with thyroid carcinoma leads to a significant reduction in the probability of recurrence of lymph node enlargement. During the performance of surgical procedures, meticulous observation plays a key role in mitigating the risk of postoperative complications, such as hypoparathyroidism, hypocalcemia, and injury to the recurrent laryngeal nerve. Thus, it is imperative to conduct follow-up procedures for post-surgical interventions among pediatric patients diagnosed with TC.
摘要：
■儿童和青少年人群中甲状腺癌（TC）的患病率很少，然而，它的全球发生正在升级。印度尼西亚儿科民众中与TC有关的信息不足，在识别和管理患有这种疾病的患者方面存在问题。这项研究的目的是详细介绍在八年的延长间隔内在三级护理中心记录的儿科TC病例的集合。
■本研究对2014年至2022年期间接受TC诊断的10名患者进行了回顾性数据分析。本研究的重点是分析临床表现，诊断措施,治疗方式，以及TC的术后直接后果。所有诊断为甲状腺癌的患者均出现颈部肿块。9例患者接受了甲状腺全切除术，而一名患者接受了峡部切除术。组织病理学评估证实了每个个体中甲状腺癌的诊断。有相当数量的病人，高达50%,在接受手术后遇到并发症。两个病人报告声音嘶哑,而另外两名患者出现了低钙血症的迹象。只有一名患者同时表现出这两种症状。
■在儿科患者中实施甲状腺全切除术作为手术干预措施提出了显著的挑战。术后监测甲状腺全切除术后的潜在并发症势在必行。
■目前的研究提供的证据表明，在患有淋巴结转移的儿童甲状腺癌患者中，使用甲状腺全切除术结合淋巴结清扫术可以显着降低淋巴结肿大复发的可能性。在手术过程中，细致的观察在降低术后并发症的风险中起着关键作用，比如甲状旁腺功能减退,低钙血症,喉返神经损伤.因此，必须对诊断为TC的儿科患者进行术后干预的随访程序。
■本研究对2014年至2022年期间接受TC诊断的10名患者进行了回顾性数据分析。本研究的重点是分析临床表现，诊断措施,治疗方式，以及TC的术后直接后果。所有诊断为甲状腺癌的患者均出现颈部肿块。9例患者接受了甲状腺全切除术，而一名患者接受了峡部切除术。组织病理学评估证实了每个个体中甲状腺癌的诊断。有相当数量的病人，高达50%,在接受手术后遇到并发症。两个病人报告声音嘶哑,而另外两名患者出现了低钙血症的迹象。只有一名患者同时表现出这两种症状。
■在儿科患者中实施甲状腺全切除术作为手术干预措施提出了显著的挑战。术后监测甲状腺全切除术后的潜在并发症势在必行。
■目前的研究提供的证据表明，在患有淋巴结转移的儿童甲状腺癌患者中，使用甲状腺全切除术结合淋巴结清扫术可以显着降低淋巴结肿大复发的可能性。在手术过程中，细致的观察在降低术后并发症的风险中起着关键作用，比如甲状旁腺功能减退,低钙血症,喉返神经损伤.因此，必须对诊断为TC的儿科患者进行术后干预的随访程序。
