CAJ | 학술논문

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.
갑상선결절교소발생우인동화청소년,단기악성풍험경고,고감별기량、악성비상중요.목전추천사용적진단방법주요유갑상선초성、갑상선세침천자세포학검사등.인동갑상선량성결절적치료상비성인경위보수,연이대우악성결절,갑상선전절술위수선.술후의밀절수방,병정규실시후속치료.대갑상선암술후적환자,수요정기복사방사성전전신소묘(WBS)、갑상선구단백측정등.좌선갑상선소적림상효과상존쟁의.
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.