Tersiyer bir hastanede çocukluk çağı tiroidektomi sonuçları

Abstract

Aim:Aim of the study is to evaluate the outcomes of thyroidectomies in pediatric population in our faculty.Material & Methods: Medical records of 107 patients under 18 years old underwent thyroid surgery betweenJanuary 1987 and March 2019 in Istanbul Faculty of Medicine was evaluated.Results:The mean age is 13.7 ± 3.9 (4-18) and the gender distribution (F / M) is 75/32 (70.1% / 29.9%). The medianfollow-up was 75 months (2-390). 77 (72%) patients had thyroid papillary cancer diagnosis, 17 (15.9%)patients underwent prophylactic thyroidectomy for MEN2A, 12 (11.2%) patients had benign pathology afterthyroidectomy due to suspicion of malignancy and 1 (0.9%) patient was Graves disease. 77 patients withpapillary thyroid cancer had a mean age of 14.8 ± 3.2 years and gender distribution (F / M) of 60/17 (78% /22%). The mean tumor diameter was 1.83 ± 1.11 cm. 23 (29.8%) cases were diagnosed as thyroid papillarymicrocancer. The extent of surgery was 68 (88.3%) total thyroidectomy, 7 (9.1%) near-total thyroidectomyand 2 (2.6%) lobectomy were found. 34 (44.1%) patients underwent central dissection, 26 (33.7%) werebilateral and 8 (10.3%) were ipsilateral. 23 (29.8%) lateral dissection was performed in primary surgery. Eleven(14.2%) patients underwent secondary surgical procedures for central or lateral recurrence.Conclusions:Thyroidectomy is very rare in pediatric population and is often performed with the diagnosis of papillarythyroid cancer. As in adults, long-term follow-up is required for recurrent cases.