Pediatric Differentiated Thyroid Carcinoma: Outcome in Response to Initial Treatment
DOI:
https://doi.org/10.3329/bjo.v24i2.44175Keywords:
Differentiated thyroid carcinoma (DTC), Papillary thyroid carcinoma (PTC), Follicular thyroid carcinoma (FTC), Lymph node dissection ( Neck Dissection)Abstract
Introduction: Though the differentiated thyroid carcinoma in children is a common pediatric endocrine malignancy, its prognosis is excellent with a proper initial treatment.
Objectives: This is to evaluate the initial treatment patern for a good prognosis with longterm outcome in pediatric DTC patients.
Methods: This study is a prospective one done in BSMMU during a period of 10 years in 52 post-operative pediatric DTC patients after excluding the follow-up missing patients. These patients are yet in a regular follow-up were outcome evaluated with clinical, pathological & imaging studies.
Results: All the patients got initial treatment of total thyroidectomy. About half of the group had undergone neck dissection along with total thyroidectomy. Forty six patients had taken 131-I therapy. The survival is 100%.
Conclusion: The life expectancy for children with DTC is excellent. However, many patients experience adverse effects from thyroid surgery, resulting in life long complications.
Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 143-148
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