| Journal: | Revista do Colegio Brasileiro de Cirurgioes |
| Database: | PERIÓDICA |
| System number: | 000183818 |
| ISSN: | 0100-6991 |
| Authors: | Sa, Geraldo Matos de1 Barbosa, Mauro Marques1 Lima, Roberto R.M. de Araujo1 Dias, Fernando Luiz1 Faria, Terence Pires de1 Peixoto, Fabio Afonso1 |
| Institutions: | 1Instituto Nacional de Cancer, Hospital do Cancer, Rio de Janeiro. Brasil |
| Year: | 2000 |
| Season: | Sep-Oct |
| Volumen: | 27 |
| Number: | 5 |
| Pages: | 323-326 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Aplicado, descriptivo |
| English abstract | The authors present a retrospective study of 12 childhood thyroid cancer seen at Hospital do Câncer (Rio de Janeiro – Brazil) from 1986 to 1994. The patient's age varied from seven to 13 years (median = 11 years), and all but one were female. Eleven children had papillary carcinoma and one follicular carcinoma. Seventy-five percent (nine patients) had cervical metastasis in presentation, and three presented pulmonary metastasis in any time of treatment. The tumor size ranged from 0,7 to six centimeters (median = 3 cm), 50% had capsular invasion all of them with cervical metastasis, tracheal invasion was detected in one patient, and the laryngeal recurrent nerve was partially compromised in two cases and had been functionally preserved in both. Only four patients were treated with less than total thyroidectomy but three of them had a second surgical procedure to complete thyroid resection since they developed cervical and/or distant metastasis. Radioactive iodine was used in eight patients with pulmonary metastasis or incomplete tumor rese |
| Portuguese abstract | Os autores apresentam uma revisão de 12 casos de carcinoma da glândula tireóide em crianças, tratados na Seção de Cirurgia de Cabeça e Pescoço do Hospital do Câncer (INCa), no período entre 1986 e 1994. Trata-se de doença pouco freqüente, pois, neste levantamento, representou apenas 1,6% das 729 afecções cirúrgicas da tireóide e 10% dos 126 casos de carcinoma papilífero da glândula tireóide atendidos no período referido. A avaliação do sexo, forma de apresentação da doença, extensão do tumor inicial e resposta ao tratamento e evolução demonstraram que estas neoplasias acometem mais freqüentemente as meninas do que os meninos e, embora apresentem-se como forma de doença avançada desde a matrícula, geralmente respondem muito bem ao tratamento cirúrgico agressivo, o que proporciona, na maioria dos casos, um prognóstico bastante favorável |
| Disciplines: | Medicina |
| Keyword: | Endocrinología, Oncología, Terapéutica y rehabilitación, Glándula tiroides, Carcinoma, Niños |
| Keyword: | Medicine, Endocrinology, Oncology, Therapeutics and rehabilitation, Thyroid gland, Carcinoma, Children |
| Full text: | Texto completo (Ver HTML) |
