Kapila Kusum, Pathan Shahed K, George Sara Shirly, Haji Bahiyah E, Das Dilip K, Qadan Laila Rafiq
Department of Pathology, Faculty of Medicine, Kuwait University.
Acta Cytol. 2010 Jul-Aug;54(4):569-74. doi: 10.1159/000325179.
To determine the distribution of thyroid lesions in pediatric and adolescent patients in Kuwait.
During a 16-year period (January 1993-December 2008) the cytology reports of 792 thyroid aspirates (724 females and 68 males) performed on children and adolescents (ranging from 4 to 21 years) at Mubarak Al-Kabeer Hospital were reviewed. Of these 62, 150, 201 and 379 aspirates belonged to the age group 4-- <12, 12-- <16, 16-- <19 and 19-21 years, respectively. There were 745 satisfactory aspirates (678 [91%] females and 67 [9%] males). The unsatisfactory rate was 5.9%, with 51.1% of the unsatisfactory aspirates in the 19-21 age group.
Benign cytology was reported in 578 cases (77.6%), with 522 (70.1%) aspirates from females and 56 (7.5%) from males. Chronic lymphocytic thyroiditis was observed in 121 cases (16.2%), and 7 of these were males. Papillary carcinoma was detected in 20 (2.7%), and 4 of these were males. Suspicious cytology was reported only in females and comprised 7 cases (0.9%) with a suspicion of papillary carcinoma and 19 cases (2.6%) with a follicular lesion.
Fine needle aspiration cytology of children's and adolescents' thyroid nodules is feasible and reliable. The majority of the nodules in this age group are benign, and fine needle aspiration cytology helps prevent unnecessary surgery.
确定科威特儿科和青少年患者甲状腺病变的分布情况。
回顾了1993年1月至2008年12月期间在穆巴拉克·卡比尔医院对4至21岁儿童和青少年进行的792例甲状腺细针穿刺抽吸活检（FNA）的细胞学报告（724例女性和68例男性）。其中，62、150、201和379例穿刺样本分别属于4 - <12岁、12 - <16岁、16 - <19岁和19 - 21岁年龄组。共有745例满意的穿刺样本（678例[91%]女性和67例[9%]男性）。不满意率为5.9%，其中19 - 21岁年龄组的不满意穿刺样本占51.1%。
578例（77.6%）报告为良性细胞学结果，其中522例（70.1%）来自女性，56例（7.5%）来自男性。观察到121例（16.2%）慢性淋巴细胞性甲状腺炎，其中7例为男性。检测到20例（2.7%）乳头状癌，其中4例为男性。可疑细胞学结果仅在女性中报告，包括7例（0.9%）疑似乳头状癌和19例（2.6%）有滤泡性病变。
儿童和青少年甲状腺结节的细针穿刺抽吸细胞学检查可行且可靠。该年龄组的大多数结节为良性，细针穿刺抽吸细胞学检查有助于避免不必要的手术。
