Pediatr. praxi. 2015;16(2):124-126
Folicular adenoma of thyroid gland with cystic degeneration in a 14-year-old girl
- 1 Dětská klinika FN a LF UP v Olomouci
- 2 Ústav molekulární a translační medicíny LF UP v Olomouci
- 3 Ústav patologie FN a LF UP v Olomouci
- 4 Radiologická klinika FN a LF UP v Olomouci
Cystic thyroid nodules in childhood and adolescence are less prevalent but more often malignant than in adulthood. Thyroid ultrasound
is useful, especially in guidance of fine-needle aspiration cytology for optimal results, but presently should not be used for final decisions
on the benign or malignant nature of the nodule. We present a case report of a 14-year-old girl with 5 months history of enlargedleft
thyroid lobe presented with a palpable solitary resistence 3 × 2 cm. Thyroid ultrasonography showed an enlarged left thyroid lobe with
cystic solitary nodule 30 × 25 mm. Doppler scans revealed increased vascularity within the left thyroid lobe nodule. Fine needle aspiration
cytology was non-diagnostic. Histological examination revealed follicular adenoma of thyroid gland. There was no family history of any
cancers, nor a history of exposure to radiation.
Keywords: cystic thyroid nodule, ultrasound, risk stratification, malignancy predictive signs, children
Published: June 1, 2015 Show citation
References
- Anil G, Hegde A, Chong FHV. Thyroid nodules: risk stratification for malignancy with ultrasound and guided biopsy. Cancer Imaging 2011; 11: 209-223.
- Goldfarb M, Gondek SS, Sanchez Y, et al. Clinic-based ultrasound can predict malignancy in pediatric thyroid nodules. Thyroid 2012; 22(8): 827-831.
Go to original source... 
Go to PubMed... - Gharib H, Papini E, Paschke R, et al. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and EuropeanThyroid Association Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules. Endocr Pract 2010; Suppl 1: 1-43. doi: 10.4158/10024.GL. Go to original source...
- The Canadian pediatric ttyroid nodule (CaPTN) study group. The Canadian pediatric thyroid nodule study: an evaluation of current management practices. J Pediatr Surg 2008; 43: 826-830. Go to PubMed...
- De Luca F, Aversa T, Alessi L, et al. Thyroid nodules in childhood: indications for biopsy and surgery. Ital J Pediatr 2014; 40(1): 48-51. Go to original source...
- Venháčová J. Uzly ve štítné žláze. Pediatr Pro Prax 2002; 3: 122-123.
- Remonti LR, Kramer CK, Leităo CB, et al. Thyroid ultrasound features and risk of carcinoma: a systematic review and meta-analysis of observational studies.Thyroid 2015; ahead of print, doi 10.1089/thy.2014.0353. Go to original source... Go to PubMed...
- Dietrich CF, Bojunga J. Ultrasound of the thyroid. Z Gastroenterol 2015; 53(3): 208-225. Go to original source... Go to PubMed...
- Kim DW. Ultrasound-guided fine-needle aspiration of benign thyroid cysts or partially cystic thyroid nobles: a preliminary study for factors predicting succesful collapse. Endocrine 2014; 45: 67-72. Go to original source... Go to PubMed...
- Morris LF, Ragavendra N. Evidence-based assessment of the role of ultrasonography in the management of benign thyroid nodules. World J Surg 2008; 32: 1253-1263. Go to original source... Go to PubMed...
- Sebo TJ. What are the keys to successful thyroid FNA interpretation? Clin Endocrinol 2012; 77: 13-17. Go to original source... Go to PubMed...
- Mazzaferri E. Management of a solitary thyroid nodule. N Engl J Med 1993; 328: 553-559. Go to original source... Go to PubMed...
- McHenry CR, Slusarczyk SJ, Khiyami A. Recommendation for management of cystic thyroid disease. Surgery 1999; 126: 1167-1172. Go to original source... Go to PubMed...
- Yoskovitc h A, Laberge JM, Sinsky A, et al. Cystic thyroid lesions in children. J Pediatr Surg 1998; 33(6): 866-870. Go to original source... Go to PubMed...