de Luca F, Chaussain J L, Job J C
Arch Fr Pediatr. 1985 Apr;42(4):277-80.
The present series includes 19 children and adolescents aged 8 to 15 years, 14 females (74%) and 5 males (26%), who underwent surgery because of solitary hypofunctioning solid thyroid mass. Microscopic examination of the mass was consistent with adenoma in 11 cases, carcinoma in 7 cases and thyroiditis in one case. Neither clinical examination nor isotopic and endocrinological investigations were predictive of the histological diagnosis. A cold nodule which is solid by ultrasonography and hypofixing by scintiscan requires, after observation for a few months, biopsy with histologic assessment during the operation.
本系列包括19名8至15岁的儿童和青少年,其中14名女性(74%),5名男性(26%),他们因孤立性甲状腺功能减退实性肿块接受了手术。肿块的显微镜检查结果为:11例符合腺瘤,7例符合癌,1例符合甲状腺炎。临床检查、同位素及内分泌检查均不能预测组织学诊断结果。超声检查为实性、闪烁扫描为低摄取的冷结节,经数月观察后,需在手术时进行活检及组织学评估。