Andersson A, Bergdahl L, Boquist L
Am Surg. 1977 Mar;43(3):159-63.
A study was made of 24 children under 15 years with thyroid cancer diagnosed during the years 1959-1967. None of the children had received irradiation treatment prior to diagnosis. Treatment took the form of surgery in combination with hormone and/or irradiation therapy. Of the 24 patients, only one died as a result of postoperative complications, even though 17% had lung metastases and 58% lymph gland metastases. The children were observed on average seven years, 10 months and the longest period of observation was 12 years, six months. The treatment recommended is total lobectomy on the affected side and subtotal on the opposite side. Cervical lymph glands with metastases are extirpated. Thyroid hormone treatment should be given immediately after surgery.
对1959年至1967年间确诊的24例15岁以下甲状腺癌患儿进行了一项研究。所有患儿在诊断前均未接受过放射治疗。治疗方式为手术联合激素和/或放射治疗。24例患者中，仅有1例因术后并发症死亡，尽管有17%的患者有肺转移，58%有淋巴结转移。对这些患儿平均观察了7年10个月，最长观察期为12年6个月。推荐的治疗方法是患侧全叶切除，对侧次全切除。有转移的颈部淋巴结予以切除。术后应立即给予甲状腺激素治疗。
