The impact of the initial operation of PTC in children on recurrence: 9-year experience in a single center

World Journal of Surgical Oncology

Research

Yunhai Ma¹  Yanjun Su¹  Min Zhang¹  Jun Qian¹  Shunshun Zhao¹  Ruochuan Cheng¹  Shaohao Cheng¹  Chang Diao¹ 

[1] Department of Thyroid Surgery, The First Affiliated Hospital of Kunming Medical University, 650032, Kunming, China;

关键词: Thyroid carcinoma;    Papillary thyroid cancer;    Surgery;    Treatment;    Children;   

DOI  :  10.1186/s12957-022-02855-0

 received in 2022-02-15, accepted in 2022-11-24,  发布年份 2022

来源: Springer

【 摘 要 】

PurposeTo summarize the treatment experience of single-center children with PTC and to explore the influence of initial surgery on the recurrence/metastasis of papillary thyroid carcinoma (PTC) in children.MethodsA retrospective analysis of PTC case data of children (≤ 18 years old) who were admitted to and received surgical treatment in the First Affiliated Hospital of Kunming Medical University from January 2012 to December 2020.ResultsA total of 64 children with PTC were included, including 45 cases (70.31%) with a single lesion, and 19 cases (29.69%) with multiple lesions (≥ 2 lesions). Fifteen patients relapsed. Univariate analysis found that gender, thyroidectomy scope, central lymph node dissection, and lateral lymph node dissection were risk factors affecting reoperation; multi-factor analysis showed that central lymph node dissection was an independent risk factor affecting reoperation. According to Kaplan–Meier analysis, central lymph node dissection, total thyroidectomy (TT), lobectomy (LT), and disease-free survival (DFS) were statistically significant (p = 0.000, p = 0.000).ConclusionAt the time of diagnosis of PTC in children, the rate of lymph node metastasis in the central and lateral cervical regions is high. The vast majority of children with PTC should be treated with TT, and LT is chosen for a small number of patients. CND should be routinely lined.

【 授权许可】

CC BY   
© The Author(s) 2022

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