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Pediatric Thyroidectomy: Experience From a Portuguese Hospital

2023-01Journal article Open access
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dc.contributor.authorVieira, Paula
dc.contributor.authorBarbosa Sequeira, Joana
dc.contributor.authorSantos Monteiro, Sílvia
dc.contributor.authorDe Carvalho Vaz, Ana
dc.contributor.authorda Silva Cardoso, Juliana
dc.contributor.authorRibeiro, Luís
dc.contributor.authorMendes, Catarina
dc.contributor.authorFreitas, Joana
dc.contributor.authorRibeiro de Castro, João
dc.contributor.authorBorges, Teresa
dc.contributor.authorOliveira, Maria João
dc.date.accessioned2024-07-02T14:18:23Z
dc.date.available2024-07-02T14:18:23Z
dc.date.issued2023-01
dc.description.abstractBackground and objective Pediatric thyroid disease requiring surgery is rare. Thyroid nodules are a frequent indication for surgery and are mostly benign. However, up to 25% of cases can be malignant. In this study, we aimed to describe our center's experience with regard to pediatric thyroid surgery. Methods This was a retrospective transverse study involving pediatric patients who underwent thyroid surgery at a tertiary hospital between January 2010 and December 2021. Results A total of 14 patients underwent 15 surgeries. The main reason for referral to pediatric endocrinology was thyroid nodules (n=10). Thirteen fine needle aspirations (FNAs) were performed, with follicular tumor (n=6) being the most common finding. The median age of patients at surgery was 15.9 years [interquartile range (IQR): 14.0-16.8]. The most common surgical indications were the presence of a follicular tumor on FNA (n=5) and thyroid nodule size causing symptoms (n=5). There was one case of prophylactic thyroidectomy due to the identification of a multiple endocrine neoplasia type 2A (MEN2A) mutation. The most frequently described histopathology results were follicular adenoma (n=6) and colloid nodular goiter (n=6). Three postoperative complications were observed in three different patients: bilateral lesion of the recurrent laryngeal nerve, cervical hematoma, and transient hypoparathyroidism with hypocalcemia. Conclusion In our study, the most frequent surgical indication was a follicular tumor. A good correlation was found between FNA cytology and final histopathology results, which is in accordance with previous studies. This reinforces the importance of FNA in diagnosis and surgical planning. The rate of complications in our study is comparable to that in larger single-center series in the literature.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationVieira PM, Barbosa Sequeira J, Santos Monteiro S, et al. Pediatric Thyroidectomy: Experience From a Portuguese Hospital. Cureus. 2023;15(1):e33259. doi:10.7759/cureus.33259pt_PT
dc.identifier.doi10.7759/cureus.33259pt_PT
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.16/2988
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCureus, Inc.pt_PT
dc.relation.publisherversionhttps://doi.org/10.7759/cureus.33259pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectpediatricspt_PT
dc.subjectthyroid diseasespt_PT
dc.subjectthyroid nodulept_PT
dc.subjectthyroid pathologypt_PT
dc.subjectthyroidectomypt_PT
dc.titlePediatric Thyroidectomy: Experience From a Portuguese Hospitalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPagee33259.pt_PT
oaire.citation.titleCureuspt_PT
oaire.citation.volume15pt_PT
person.familyNameVieira
person.givenNamePaula
person.identifier.ciencia-id641A-655D-D7E4
person.identifier.orcid0000-0002-9802-4558
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationca3dcdb1-686d-4433-be29-145d76f910f5
relation.isAuthorOfPublication.latestForDiscoveryca3dcdb1-686d-4433-be29-145d76f910f5

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