儿童期“自主性腺瘤”中的分化型甲状腺癌
[Differentiated thyroid gland carcinomas in "autonomous adenomas" in childhood].
作者信息
Müller A, Goretzki P, Witte J, Gerharz P, Röher H D
机构信息
Klinik für Allgemeine und Unfallchirurgie, Heinrich-Heine-Universität Düsseldorf.
出版信息
Chirurg. 1995 Oct;66(10):1018-20.
Thyroid surgery is seldomly indicated in childhood and adolescence mainly because of suspicious nodules or proven carcinoma. Indications for operation in Graves disease and focal autonomy are discussed controversially, however. In a retrospective case control study two of our 6 patients up to 18 years demonstrated differentiated thyroid cancer with focal autonomy in the autonomous nodule. Other studies show similar results. Thyroid surgery is therefore warranted in all children and adolescents with focal thyroid autonomy.
甲状腺手术在儿童和青少年中很少进行，主要原因是可疑结节或确诊的癌症。然而，对于格雷夫斯病和局灶性自主性的手术指征存在争议。在一项回顾性病例对照研究中，我们6名18岁以下患者中有2名在自主性结节中表现出伴有局灶性自主性的分化型甲状腺癌。其他研究也显示了类似结果。因此，所有患有局灶性甲状腺自主性的儿童和青少年都有必要进行甲状腺手术。
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