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Updated: Apr 28, 2026

Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
Thyroid nodules in childhood: indications for biopsy and surgery
Filippo De Luca1, Tommaso Aversa, Luca Alessi
1Department of Pediatrics, University of Messina, Via Consolare Valeria, 98124 Messina, Italy. filippo.deluca@unime.it.
Abstract:
Aims of this commentary is to report the most recent views about epidemiology, diagnostic procedures, malignancy risk factors and clinical management of thyroid nodules in children. On the basis of our personal experiences and recent literature evidences, we conclude that: a) if nodule is accompanied by lymphadenopathy and/or other alert findings, fine-needle aspiration biopsy (FNAB) should be recommended; b) if no lymphadenopathy and no other clinical and ultrasonographic alert signs are observed, work-up can progress to FNAB only if nodule persists or grows over time, even under levo-thyroxine therapy.
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