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[Experience with the surgical therapy of thyroid diseases in childhood]
Insights
This study reviewed 56 pediatric thyroid cases from 1970-1987, focusing on nodular goiter, hypothyrosis, and carcinoma. Surgical procedures varied based on specific thyroid pathologies in children.
Area of Science:
- Pediatric Endocrinology
- Surgical Oncology
- Thyroid Pathology
Context:
- Review of 56 pediatric patients treated between 1970 and 1987.
- Focus on pathological changes of the thyroid gland in children aged 1 month to 16 years.
- Analysis of disease presentation including nodular goiter, hypothyrosis, cysts, and carcinoma.
Purpose:
- To analyze surgical procedures for various pediatric thyroid pathologies.
- To discuss the surgical management strategies employed.
- To correlate surgical interventions with specific disease patterns.
Summary:
- Nodular goiter was the most common presentation (29 patients).
- Hypothyrosis and cysts affected 13 patients, while 5 had carcinoma.
- Surgical interventions included subtotal resection (18), rectolateral resection (13), subtotal left lobe resection (7), and enucleation (13).
Impact:
- Provides insights into historical surgical approaches for pediatric thyroid diseases.
- Highlights the spectrum of thyroid conditions encountered in pediatric surgical practice.
- Informs understanding of surgical decision-making for diverse thyroid pathologies in children.
Abstract:
56 children of the age of 1 month to 16 years were treated between 1970 and 1987 for pathological changes of the thyroid gland. In 29 patients the disease presented as a nodular goitre, in 13 as hypothyrosis and cysts, and in 5 as carcinoma. Subtotal resection was performed in a total of 18 cases; rectolateral resection was performed 13 times. In 7 children the left thyroid lobe was resected subtotally and enucleation was performed 13 times. The surgical procedure during the individual disease patterns is discussed.