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首页> 外文期刊>Journal of Medical Case Reports >Palpable pediatric thyroid abnormalities – diagnostic pitfalls necessitate a high index of clinical suspicion: a case report
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Palpable pediatric thyroid abnormalities – diagnostic pitfalls necessitate a high index of clinical suspicion: a case report

机译：可触及的小儿甲状腺异常–诊断缺陷需要高度临床怀疑：一个病例报告

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摘要

A 12-year-old girl presented with a 4 year history of an enlarged, firm thyroid gland. On exam, her thyroid was firm and fixed and an enlarged cervical lymph node was palpable as well. Though a thyroid ultrasound prior to referral was read as thyroiditis, clinical suspicion for thyroid carcinoma mandated continued investigation. The diagnosis of papillary thyroid cancer was established and her workup revealed lymph node metastases as well as a tremendous burden of pulmonary metastases. Pediatric thyroid cancer is extremely rare, but often presents with aggressive disease. Palpable thyroid abnormalities in an individual under 20-years-old should be viewed with suspicion and should be thoroughly investigated to rule out malignancy even in the face of negative diagnostic procedures. Though pediatric papillary thyroid cancer often presents with loco-regional and even distant metastatic disease, mortality rates in follow-up for as long as 20 years are very favorable.
机译：一名12岁女孩表现出4年的甲状腺肿大结实病史。检查时，她的甲状腺牢固而固定，并且可触及颈部淋巴结肿大。尽管在转诊之前将甲状腺超声检查读作甲状腺炎，但对甲状腺癌的临床怀疑要求继续进行调查。确定了乳头状甲状腺癌的诊断，她的检查发现淋巴结转移以及肺转移的巨大负担。小儿甲状腺癌极为罕见，但常伴有侵袭性疾病。应当怀疑二十岁以下个体的甲状腺异常，即使面对阴性诊断程序也应进行彻底检查以排除恶性肿瘤。尽管小儿甲状腺乳头状癌通常表现为局部区域性甚至远处转移性疾病，但长达20年的随访死亡率是非常有利的。

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