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The Pediatric Thyroid Nodule and Papillary Thyroid Cancer Management

  • Scott A. RivkeesEmail author
  • Catherine A. Dinauer
Chapter

Abstract

Pediatric thyroid cancer is a rare disease with an excellent prognosis. Compared with adults, epithelial-derived differentiated thyroid cancer (DTC), which includes papillary (PTC), presents at more advanced stages in children and is associated with higher rates of recurrence. Because of its uncommon occurrence, randomized trials have not been applied to test best care options in children. Even in adults that have a tenfold or higher incidence of thyroid cancer than children, few prospective trials have been executed to compare treatment approaches. We recognize that treatment recommendations have changed over the past few decades and will continue to do so. Reflecting the aggressiveness of pediatric thyroid cancer, high recurrence rates, and the problems associated with decades of long-term follow-up, a premium should be placed on treatments that minimize risk of recurrence and the adverse effects of treatments and facilitate follow-up. We recommend long-term follow-up, since disease can recur decades after initial therapy. Considering the complexity of DTC management and the potential complications associated with therapy, it is essential that pediatric DTC be managed by physicians with expertise in this area.

Keywords

Thyroid nodule Thyroid cancer Thyroidectomy Pediatric Child Radioactive iodine Thyroglobulin 

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of PediatricsUniversity of Florida College of MedicineGainesvilleUSA
  2. 2.Department of SurgeryYale University School of MedicineNew HavenUSA
  3. 3.Department of PediatricsYale University School of MedicineNew HavenUSA

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