Cryopreserved Thyroid Tissue Autotransplant in Pediatric Age Patients: A Feasibility Study and Literature Review

• Published in: Cancers 2024-05, Vol.16 (11), p.2112
• Main Authors: Spinelli, Claudio, Ghionzoli, Marco, Sahli, Linda Idrissi, Visintainer, Silvia, Guglielmo, Carla, Cordola, Chiara, Lapi, Simone, Biagi, Elisa, Pucci, Angela, Morganti, Riccardo, Ferrari, Silvia Martina, Antonelli, Alessandro
• Format: Article
• Language: English
• Subjects: Animals; Autografts; Cancer in children; Care and treatment; Cell culture; Cell viability; Children; Complications and side effects; Cryopreservation; Cryopreservation of organs, tissues, etc; Culture; Edema; Feasibility studies; Females; Hormone replacement therapy; Literature reviews; Morphology; Pathology; Patients; Pediatric research; Pediatrics; Structure-function relationships; Thyrocytes; Thyroglobulin; Thyroid; Thyroid cancer; Thyroid gland; Thyroidectomy
• ISSN: 2072-6694; 2072-6694
• DOI: 10.3390/cancers16112112

This paper aims to study an alternative solution to hormonal replacement therapy in specific groups of patients who underwent thyroidectomy during childhood or adulthood. After cryopreservation, thyroid autotransplantation could be an alternative solution which would allow us to use the ability of the thyroid tissue of producing hormones according to the physiological needs of the body. A feasibility study about the effects of the most modern cryopreservation techniques on the structural and functional integrity of the follicular cells of the thyroid tissue has been carried out. Patients who could benefit from the treatment have been found for both autotransplant techniques. Additionally, a literature review has been conducted. The histological analysis has shown that cryopreservation does not alter the original architecture, and the culture examination that cell viability is successfully preserved. Moreover, both thyroid autotransplantation studies on animals and those on humans that were found in the literature have shown good results regarding the viability and functionality of the transplant. The viability of cryopreserved thyroid tissue found in this study is encouraging. Further studies to evaluate the levels of FT3, FT4 and thyroglobulin in thyroid tissue after cryopreservation are needed to verify that the secretory properties of the thyrocytes have been maintained intact. Furthermore, autotransplanted cases found in the literature do not have a long-term follow-up.