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Difficult Decisions in Endocrine Surgery pp 153–162Cite as

Prophylactic Versus Selective Central Neck Dissection in Pediatric Papillary Thyroid Cancer

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Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

The first case of thyroid carcinoma in a child was described in 1902. Following this, Crile published the first case series of pediatric thyroid cancer in 1959, whereby he characterized pediatric thyroid cancer in 18 children. He noted that pediatric thyroid cancer was more commonly metastatic to cervical lymph nodes and to the lungs than was described in the adult population. Despite finding these cancers to be more aggressive than in adults, only one of the patients died of thyroid cancer and four of them were alive with lung metastases. This publication spawned many subsequent studies confirming these findings. As a result, there has been much debate on the appropriate surgical treatment of thyroid cancer in the pediatric population both with respect to the extent of surgery and the use of radioactive iodine.

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Author information

Authors and Affiliations

  1. Section of Endocrine Surgery, Division of Surgical Oncology, Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Benjamin James

  2. Baylor College of Medicine, Michael E. DeBakey Department of Surgery, Endocrine Surgery, Baylor St. Luke’s Medical Center, Houston, TX, USA

    Raymon H. Grogan

  3. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Edwin L. Kaplan

  4. Department of Surgery and MacLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL, USA

    Peter Angelos

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  1. Benjamin James
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  2. Raymon H. Grogan
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  3. Edwin L. Kaplan
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  4. Peter Angelos
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Correspondence to Benjamin James .

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Editors and Affiliations

  1. Department of Surgery and MacLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL, USA

    Peter Angelos

  2. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA

    Raymon H. Grogan

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James, B., Grogan, R.H., Kaplan, E.L., Angelos, P. (2018). Prophylactic Versus Selective Central Neck Dissection in Pediatric Papillary Thyroid Cancer. In: Angelos, P., Grogan, R. (eds) Difficult Decisions in Endocrine Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-92860-9_14

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  • DOI: https://doi.org/10.1007/978-3-319-92860-9_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-92858-6

  • Online ISBN: 978-3-319-92860-9

  • eBook Packages: MedicineMedicine (R0)

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