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      Thyroglossal duct cyst carcinoma in child †

      case-report
      Author(s): * , ,
      Publication date (Electronic):
      Journal: Journal of Surgical Case Reports
      Publisher: Oxford University Press

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          Abstract

          Papillary thyroid carcinoma occurring in a thyroglossal cyst is a rare condition especially in children, and there is no consensus regarding management. There are only 10 other documented cases in the English literature for children under the age of 12. We discuss one such case. A 10-year-old female child with an 8-month history of a midline neck cyst underwent Sistrunk's procedure as surgical treatment after clinical and ultrasound scan confirmation. An incidental 9-mm papillary carcinoma was seen on histology within the thyroglossal cyst. Following multidisciplinary team (MDT) discussion, the child underwent total thyroidectomy and radioiodine ablation. There is no consensus regarding the ideal management for thyroglossal duct carcinoma in the paediatric literature. We discuss the treatment options and the importance of MDT involvement.

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          Differentiated Thyroid Carcinoma of Children and Adolescents: 27-Year Experience in the Yonsei University Health System

          Seulkee Park, Jun Soo Jeong, Haeng Ryu … (2013)
          Thyroid carcinomas are uncommon in childhood and adolescence. The aim of this study was to analyze clinical features and clinical outcomes of thyroid cancer in the pediatric population treated in the Yonsei University Health System. From September 1982 to June 2009, 90 patients (75 females, 15 males; female:male ratio of 5:1) with differentiated thyroid carcinoma were identified in our institute. The mean age at diagnosis was 15.8 yr old (range 4.8-19.9 yr). Cervical masses were most common clinical manifestations at diagnosis in 65 patients (72.2%). Forty-two patients underwent less than total thyroidectomy and 18 patients underwent total thyroidectomy. Thirty patients (33.3%) had lateral neck lymph node metastasis and seven patients (7.8%) had lung metastasis at the time of surgery. Among the 90 patients, recurrence occurred in 14 patients (15.5%). Mean follow-up period for patients with differentiated thyroid carcinoma was 81.6 months (13-324 months). No patients died of differentiated thyroid carcinoma. Patients with differentiated thyroid carcinoma who were < 20-yr-of-age were present with aggressive local disease and a high frequency of lymph node and distant metastasis. It is recommended that pediatric thyroid cancer should be managed mostly using proper surgical approach with thyroidectomy and lymph node dissection when indicated.
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            Thyroglossal duct carcinoma in children: case presentation and review of the literature.

            A Peretz, Eli Hershkovitz, E Leiberman … (2004)
            Carcinoma within the thyroglossal duct (TGDCa) is a very rare pediatric tumor. This report presents the case of a 15-year-old girl with TGDCa, reviews the previously published pediatric cases of this tumor, and provides diagnostic and therapeutic considerations in TGDCa in children. Twenty one cases of TGDCa have been reported, 12 of them in females. Mean age at presentation was approximately 13 years for females and approximately 12 years for males. The duration of a midcervical mass prior to the diagnosis of TGDCa varied from 3 weeks to 8 years. The size of the neck mass at presentation averaged 2 cm-4 cm. All masses were asymptomatic, and the diagnosis of TGDCa was incidental following surgery. All pediatric cases of TGDCa reported thus far were of the papillary type, except for 3 patients who presented with a mixed papillary-follicular carcinoma. Capsular invasion was detected in 10 (45%) patients. Local invasive disease was found in 5 (23%) patients, but all removed thyroid glands (12) were free of carcinoma. One patient had lung metastases. Thyroidectomy with subsequent radioiodine ablation was the treatment of choice in the majority of the cases. The reported prognosis for TGDCa in children was favorable, with only one reported death.
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              Well-differentiated carcinoma of the thyroid.

              E. Hanna, Chun Fan, T Boone (2003)
              Thyroid cancer will be diagnosed in more than 20,000 individuals in the United States in 2002. Approximately 16,000 of these patients will be women. During the same year, an estimated 1300 deaths from thyroid cancer are expected. The various types of thyroid cancer include papillary carcinoma, follicular carcinoma, Hurthle cell carcinoma, medullary carcinoma, anaplastic carcinoma, and thyroid lymphoma. Papillary, follicular, and Hurthle cell carcinoma are considered well-differentiated thyroid cancers and constitute the focus of this article.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Surg Case Rep
                Journal ID (iso-abbrev): J Surg Case Rep
                Journal ID (publisher-id): jscr
                Journal ID (hwp): jscr
                Title: Journal of Surgical Case Reports
                Publisher: Oxford University Press
                ISSN (Electronic): 2042-8812
                Publication date Collection: April 2015
                Publication date (Electronic): 15 April 2015
                Volume: 2015
                Issue: 4
                Electronic Location Identifier: rjv042
                Affiliations
                Department of Otolaryngology/Head and Neck Surgery, Leeds General Infirmary , Leeds, UK
                Author notes
                [* ]Correspondence address. Department of Otolaryngology/Head and Neck Surgery, Leeds General Infirmary , Leeds, UK. Tel: 0113-20-64933; E-mail: asiltahir@ 123456hotmail.com
                [1]

                Present address: Head & Neck Unit, Queen Victoria Hospital, East Grinstead, UK.

                [†]

                Poster Presented at the 34th BAETS Annual Scientific Meeting, Liverpool, on 9th to 10th October 2014.

                Article
                Publisher ID: rjv042
                DOI: 10.1093/jscr/rjv042
                PMC ID: 4397541
                SO-VID: 95b1e8e4-3e9b-45cd-bde9-e1f9b264173f
                Copyright © Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                History
                Date received : 17 February 2015
                Date revision received : 4 March 2015
                Date accepted : 11 March 2015
                Page count
                Pages: 2
                Categories
                Subject: Case Reports
                Subject: 070

                Data availability:

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