Papillary and Follicular Thyroid Cancer in children and adolescents: Current approach and future directions

Semin Pediatr Surg. 2020 Jun;29(3):150920. doi: 10.1016/j.sempedsurg.2020.150920. Epub 2020 May 16.

Abstract

An increasing number of children are diagnosed with differentiated thyroid cancer. With an excellent prognosis for the majority of pediatric patients, the goal of therapy is to optimize outcome while reducing complications. Increased knowledge of the somatic, oncogenic driver mutations provides opportunities to improve the accuracy of diagnosis, to stratify surgery, and to treat patients with morbidly invasive or refractory disease. Treatment complications can be reduced by referral to regional, high-volume pediatric thyroid centers.

Keywords: Adolescent, Papillary; Follicular, Therapy; Pediatric, Child; Thyroid cancer; Thyroid nodule.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma, Follicular* / diagnosis
  • Adenocarcinoma, Follicular* / etiology
  • Adenocarcinoma, Follicular* / pathology
  • Adenocarcinoma, Follicular* / therapy
  • Adolescent
  • Child
  • Combined Modality Therapy
  • Genetic Predisposition to Disease
  • Humans
  • Iodine Radioisotopes / therapeutic use
  • Radiopharmaceuticals / therapeutic use
  • Thyroid Cancer, Papillary* / diagnosis
  • Thyroid Cancer, Papillary* / etiology
  • Thyroid Cancer, Papillary* / pathology
  • Thyroid Cancer, Papillary* / therapy
  • Thyroid Neoplasms* / diagnosis
  • Thyroid Neoplasms* / etiology
  • Thyroid Neoplasms* / pathology
  • Thyroid Neoplasms* / therapy
  • Thyroidectomy

Substances

  • Iodine Radioisotopes
  • Radiopharmaceuticals

Supplementary concepts

  • Thyroid cancer, follicular