DOI: 10.36347/sjmcr.2018.v06i11.022

Pages: 991-994

Thyroid carcinoma in childhood has a low incidence; the most common is the papillary thyroid carcinoma. The treatment is still contra versed. Tumoral staging is advanced, compares to adult patients (multifocal disease, pulmonary metastases, tumor characteristics, lymph node metastasis). The thyroid carcinoma has a good prognosis with a low mortality rate. The optimal treatment for children and adolescents with papillary thyroid carcinoma is still debated. However such agressive treatment is associated with an increased risk of surgical complications including hypocalcemia and dommage to the recurrent laryngeal nerve (10-15%). A less agressiv treatment is associated with a higher risk of recurrence (20-40%). Our work is a retrospective study about 7 patients treated in our service. Treatment consisted of a total thyroidectomy with lymph node dissections out and I 131 after that the initial surgery were realised. Surgery complications are lower for surgeons with a long experience.