Assuntos
Carcinoma/patologia , Linfonodos/patologia , Neoplasias da Glândula Tireoide/patologia , Adolescente , Carcinoma/epidemiologia , Carcinoma Papilar , Criança , Pré-Escolar , Feminino , Humanos , Metástase Linfática , Masculino , República de Belarus/epidemiologia , Câncer Papilífero da Tireoide , Neoplasias da Glândula Tireoide/epidemiologiaRESUMO
The clinico-morphological investigations of 117 children and adolescences with papillary thyroid carcinoma, surgically treated in the Republic Centre for Thyroid Tumors, Minsk, Belarus in 1995-2009 and dutifully followed-up have been studied. Ninety -five observations of all cases were sporadic, but 22 patients had been treated earlier from other neoplasm (Hodgkin's diseases, malignant lymphoma, leukemia, sarcoma, medulloblastoma). Epidemiologic, clinical and pathological peculiarities of thyroid carcinoma in Belarus were analyzed. A number of features distinguished "cryptogenic" and "iatrogenic" papillary thyroid carcinoma in children and adolescents were found out.
Assuntos
Carcinoma Papilar/patologia , Doença Iatrogênica , Segunda Neoplasia Primária/patologia , Neoplasias da Glândula Tireoide/patologia , Adolescente , Carcinoma Papilar/etiologia , Carcinoma Papilar/cirurgia , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Análise Multivariada , Invasividade Neoplásica , Metástase Neoplásica , Segunda Neoplasia Primária/etiologia , Segunda Neoplasia Primária/cirurgia , Neoplasias da Glândula Tireoide/etiologia , Neoplasias da Glândula Tireoide/cirurgiaRESUMO
The role of either pre- or intraoperative detection of thyroid cancer for estimating extent of surgery is not important unless malignancy of neoplasm can be established before postoperative stage. Primary morphological diagnosis may be affected by numerous subjective and objective factors. Yet repeat operation can be avoided if puncture biopsy, imprint smears and scarification alongside standard methods of evaluation of frozen sections are used in a complex.
