Current Otorhinolaryngology Reports

, Volume 6, Issue 1, pp 56–63 | Cite as

Surgical Management of Thyroid Disease in Children

Pediatric Otolaryngology (I Bruce, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Pediatric Otolaryngology

Abstract

Purpose of Review

To provide a comprehensive, up-to-date guide for the surgical management of the most common malignant and benign thyroid diseases within the pediatric population.

Recent Findings

26.4% of nodules are malignant in the pediatric population. Concerning ultrasound features of hypoechogenicity, irregular margins, increased intranodular blood flow, or microcalcifications should prompt FNA, while size criteria is less important. The Bethesda System is effective in stratifying risk in pediatric nodules. The role of molecular genetic testing to guide patient management is emerging. Total thyroidectomy has become more frequent in the treatment of differentiated thyroid cancer due to its aggressive nature in the pediatric population and concern for recurrence. The role of adjunctive radiofrequency iodine ablation and the impact of extensive resection on survival are controversial.

Summary

Management of pediatric thyroid disease can be complex and should be managed by a multidisciplinary team with an experienced, high-volume surgeon.

Keywords

Pediatric Thyroid Carcinoma Guidelines Nodule Surgery 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Roberto Solis
    • 1
  • Allison Ordemann
    • 2
  • Eric E. Berg
    • 2
    • 3
  1. 1.Paul L. Foster School of MedicineTexas Tech University Health Sciences CenterEl PasoUSA
  2. 2.Department of Otolaryngology- Head and Neck SurgeryUniversity of Texas- SouthwesternDallasUSA
  3. 3.Department of Otolaryngology, Head and Neck SurgeryUT Southwestern and Children’s Medical Center DallasDallasUSA

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