Thyroid nodules in childhood: indications for biopsy and surgery

Italian Journal of Pediatrics

Giuseppe Zoccali¹  Roberta Vadal๠ Veronica Scuderi¹  Cristina Genovese¹  Daria Costanzo¹  Valeria Cama¹  Luca Alessi¹  Tommaso Aversa¹  Filippo De Luca¹ 

[1] Department of Pediatrics, University of Messina, Via Consolare Valeria, 98124 Messina, Italy

关键词: Thyroidectomy;    Risk factors;    Malignancy predictive signs;    Cancer predictive value;    Fine-needle aspiration biopsy;   

Others  :  802299
DOI  :  10.1186/1824-7288-40-48

 received in 2014-02-06, accepted in 2014-04-29,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 De Luca et al.; licensee BioMed Central Ltd.

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