Palpable pediatric thyroid abnormalities – diagnostic pitfalls necessitate a high index of clinical suspicion: a case report
2007

Pediatric Thyroid Cancer: A Case Report

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Klopper Joshua P, McDermott Michael T

Primary Institution: University of Colorado at Denver and Health Sciences Center

Hypothesis

Palpable thyroid abnormalities in children should be thoroughly investigated for possible malignancy.

Conclusion

Pediatric papillary thyroid cancer can present aggressively, but mortality rates remain low despite high recurrence rates.

Supporting Evidence

  • Pediatric thyroid cancer is rare, with an incidence of less than 2/100,000 children.
  • Papillary thyroid carcinoma is the most common type of pediatric thyroid cancer, representing 85-95% of cases.
  • Despite aggressive presentations, pediatric patients with papillary thyroid cancer have favorable long-term survival rates.

Takeaway

If a child's thyroid is swollen, doctors should check it carefully because it might be cancer, even if tests say it's not.

Methodology

The patient underwent fine-needle aspiration biopsy, ultrasound, and subsequent surgeries for diagnosis and treatment.

Limitations

The initial biopsy was read as benign, which may have delayed the correct diagnosis.

Participant Demographics

A 12-year-old female from El Salvador with no significant past medical history.

Digital Object Identifier (DOI)

10.1186/1752-1947-1-29

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