Thyroid nodules in childhood: indications for biopsy and surgery

Aims of this commentary is to report the most recent views about epidemiology, diagnostic procedures, malignancy risk factors and clinical management of thyroid nodules in children. On the basis of our personal experiences and recent literature evidences, we conclude that: a) if nodule is accompanie...

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Bibliographic Details
Published in:Italian journal of pediatrics 2014-05, Vol.40 (1), p.48-48, Article 48
Main Authors: De Luca, Filippo, Aversa, Tommaso, Alessi, Luca, Cama, Valeria, Costanzo, Daria, Genovese, Cristina, Scuderi, Veronica, Vadalà, Roberta, Zoccali, Giuseppe
Format: Article
Language:English
Subjects:
Biopsy, Fine-Needle
Child
Diagnosis, Differential
Humans
Thyroid Gland - pathology
Thyroid Gland - surgery
Thyroid Nodule - diagnosis
Thyroid Nodule - surgery
Thyroidectomy
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Summary:Aims of this commentary is to report the most recent views about epidemiology, diagnostic procedures, malignancy risk factors and clinical management of thyroid nodules in children. On the basis of our personal experiences and recent literature evidences, we conclude that: a) if nodule is accompanied by lymphadenopathy and/or other alert findings, fine-needle aspiration biopsy (FNAB) should be recommended; b) if no lymphadenopathy and no other clinical and ultrasonographic alert signs are observed, work-up can progress to FNAB only if nodule persists or grows over time, even under levo-thyroxine therapy.
ISSN:1824-7288
1720-8424
1824-7288
DOI:10.1186/1824-7288-40-48