儿童甲状腺结节的诊断与治疗
Diagnosis and treatment of thyroid nodules in children
甲状腺结节较少发生于儿童和青少年,但其恶性风险更高,故鉴别其良、恶性非常重要.目前推荐使用的诊断方法主要有甲状腺超声、甲状腺细针穿刺细胞学检查等.儿童甲状腺良性结节的治疗相比成人更为保守,然而对于恶性结节,甲状腺全切术为首选.术后宜密切随访,并正规实施后续治疗.对甲状腺癌术后的患者,需要定期复查放射性碘全身扫描(WBS)、甲状腺球蛋白测定等.左旋甲状腺素的临床效果尚存争议.
更多Although pediatric thyroid masses are rare,they have a good chance of carcinoma.There-fore,it is important to assess the risk of malignancy.Appropriate diagnostic tests include thyroid ultrasound,thyroid fine needle aspiration technique and so on.Compared to aduLTs,treatment of benign thyroid nodules in children is more conservative,however,for malignant thyroid nodules,total thyroidectomy is the first choice.Moreover,whole body scan with radioactive iodine and thyroglobulin determination should be suggested after thyROidectomy.The clinical efficacv of L-thyroxin is still debated.
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