Pediatric Differentiated Thyroid Carcinoma: Outcome in Response to Initial Treatment

Authors

  • Md Mosleh Uddin Associate Professor, Head-Neck Surgery Division, Dept. of otolaryngology & Head-Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU)
  • Syed Farhan Ali Razib Associate Professor, Head-Neck Surgery Division, Dept. of otolaryngology & Head-Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU)
  • Kazi Shameemus Salam Associate Professor, Head-Neck Surgery Division, Dept. of otolaryngology & Head-Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU)
  • Mohd Abdus Sattar Associate Professor, Head-Neck Surgery Division, Dept. of otolaryngology & Head-Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU)
  • Belayat Hossain Siddiquee Professor & cheif, Head-Neck Surgery Division, and Chairman, Dept. of otolaryngology & Head- Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU)

DOI:

https://doi.org/10.3329/bjo.v24i2.44175

Keywords:

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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Published

2019-12-19

How to Cite

Uddin, M. M., Ali Razib, S. F., Salam, K. S., Sattar, M. A., & Siddiquee, B. H. (2019). Pediatric Differentiated Thyroid Carcinoma: Outcome in Response to Initial Treatment. Bangladesh Journal of Otorhinolaryngology, 24(2), 143–148. https://doi.org/10.3329/bjo.v24i2.44175

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Original Articles