Characteristic Sonographic and Follow Up Features of Thyroid Nodules According to Childhood Age Groups
Purpose We analyzed the spectrum and the significance of pediatric thyroid nodules depicted on sonography and evaluated the follow-up change according to the age group. Materials and Methods We retrospectively reviewed the sonographic features of 82 nodules in 69 patients (6.6%) among 1282 chil...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2016-08-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2016.75.2.126 |
| _version_ | 1828803168572538880 |
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| author | Bo Da Nam Yun-Woo Chang Seong Sook Hong Ji-Young Hwang Hyun Kyung Lim Jeong Ho Lee Dong Hwan Lee |
| author_facet | Bo Da Nam Yun-Woo Chang Seong Sook Hong Ji-Young Hwang Hyun Kyung Lim Jeong Ho Lee Dong Hwan Lee |
| author_sort | Bo Da Nam |
| collection | DOAJ |
| description | Purpose
We analyzed the spectrum and the significance of pediatric thyroid nodules depicted on sonography and evaluated the follow-up change according to the age group.
Materials and Methods
We retrospectively reviewed the sonographic features of 82 nodules in 69 patients (6.6%) among 1282 children less than 13 years of age without a palpable lesion, from January 2006 to January 2013. Patients were divided into three age groups; infants, preschoolers, and schoolers. Thyroid nodules were evaluated according to their sonographic characteristics (simple cyst, colloid cyst, solid mass, or intrathyroid thymus) and the changes detected at follow-up (disappearance, decrease in size, no change or increase in size) were reported.
Results
There was a significant difference in the nodule patterns among the age groups (p < 0.001). The nodules in infants included a simple cyst (n = 12), a solid mass (n = 12), or an intra-thyroid thymus (n = 9). The preschoolers had a simple cyst (n = 11), a colloid cyst (n = 5), a solid mass (n = 3) or an intra-thyroid thymus (n = 5). However, the schoolers had a simple cyst (n = 2), a colloid cyst (n = 18), and a solid mass (n = 5), but there was no case of intra-thyroid thymus. Follow-up of 38 cases revealed significant differences among the age groups (p = 0.018). The nodules in infants showed findings such as disappearance of nodules (n = 9) and no change (n = 10) on follow-up sonography. In preschoolers, the nodules had disappeared (n = 2), decreased in size (n = 1), and showed no change (n = 11). However, the nodules in schoolers were found to be decreased in size (n = 1), show no change (n = 2), and increased in size (n = 2). The proven pathologic finding was benign in four patients.
Conclusion
There were significant differences in the prevalence and the interval change of thyroid nodules among infants, preschoolers, and schoolers. A large series of intrathyroid thymus was seen in infants and preschoolers, and masses did not increase in size in these age groups. The frequency of a colloid cyst could be increased in schoolers, and masses were increased in size in this age group, but none of the patients showed a malignant finding on pathology. |
| first_indexed | 2024-12-12T07:17:08Z |
| format | Article |
| id | doaj.art-5b233410b6eb43a0a805abfe0a61a427 |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-12-12T07:17:08Z |
| publishDate | 2016-08-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-5b233410b6eb43a0a805abfe0a61a4272022-12-22T00:33:28ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282016-08-01752126132https://doi.org/10.3348/jksr.2016.75.2.126Characteristic Sonographic and Follow Up Features of Thyroid Nodules According to Childhood Age GroupsBo Da Nam0Yun-Woo Chang1Seong Sook Hong2Ji-Young Hwang3Hyun Kyung Lim4Jeong Ho Lee5Dong Hwan Lee6Department of Radiology, Soonchunhyang University Hospital, Seoul, KoreaDepartment of Radiology, Soonchunhyang University Hospital, Seoul, KoreaDepartment of Radiology, Soonchunhyang University Hospital, Seoul, KoreaDepartment of Radiology, Soonchunhyang University Hospital, Seoul, KoreaDepartment of Radiology, Soonchunhyang University Hospital, Seoul, KoreaDepartment of Pediatrics, Soonchunhyang University Hospital, Seoul, KoreaDepartment of Pediatrics, Soonchunhyang University Hospital, Seoul, KoreaPurpose We analyzed the spectrum and the significance of pediatric thyroid nodules depicted on sonography and evaluated the follow-up change according to the age group. Materials and Methods We retrospectively reviewed the sonographic features of 82 nodules in 69 patients (6.6%) among 1282 children less than 13 years of age without a palpable lesion, from January 2006 to January 2013. Patients were divided into three age groups; infants, preschoolers, and schoolers. Thyroid nodules were evaluated according to their sonographic characteristics (simple cyst, colloid cyst, solid mass, or intrathyroid thymus) and the changes detected at follow-up (disappearance, decrease in size, no change or increase in size) were reported. Results There was a significant difference in the nodule patterns among the age groups (p < 0.001). The nodules in infants included a simple cyst (n = 12), a solid mass (n = 12), or an intra-thyroid thymus (n = 9). The preschoolers had a simple cyst (n = 11), a colloid cyst (n = 5), a solid mass (n = 3) or an intra-thyroid thymus (n = 5). However, the schoolers had a simple cyst (n = 2), a colloid cyst (n = 18), and a solid mass (n = 5), but there was no case of intra-thyroid thymus. Follow-up of 38 cases revealed significant differences among the age groups (p = 0.018). The nodules in infants showed findings such as disappearance of nodules (n = 9) and no change (n = 10) on follow-up sonography. In preschoolers, the nodules had disappeared (n = 2), decreased in size (n = 1), and showed no change (n = 11). However, the nodules in schoolers were found to be decreased in size (n = 1), show no change (n = 2), and increased in size (n = 2). The proven pathologic finding was benign in four patients. Conclusion There were significant differences in the prevalence and the interval change of thyroid nodules among infants, preschoolers, and schoolers. A large series of intrathyroid thymus was seen in infants and preschoolers, and masses did not increase in size in these age groups. The frequency of a colloid cyst could be increased in schoolers, and masses were increased in size in this age group, but none of the patients showed a malignant finding on pathology.https://doi.org/10.3348/jksr.2016.75.2.126thyroid noduleultrasonographypediatrics |
| spellingShingle | Bo Da Nam Yun-Woo Chang Seong Sook Hong Ji-Young Hwang Hyun Kyung Lim Jeong Ho Lee Dong Hwan Lee Characteristic Sonographic and Follow Up Features of Thyroid Nodules According to Childhood Age Groups 대한영상의학회지 thyroid nodule ultrasonography pediatrics |
| title | Characteristic Sonographic and Follow Up Features of Thyroid Nodules According to Childhood Age Groups |
| title_full | Characteristic Sonographic and Follow Up Features of Thyroid Nodules According to Childhood Age Groups |
| title_fullStr | Characteristic Sonographic and Follow Up Features of Thyroid Nodules According to Childhood Age Groups |
| title_full_unstemmed | Characteristic Sonographic and Follow Up Features of Thyroid Nodules According to Childhood Age Groups |
| title_short | Characteristic Sonographic and Follow Up Features of Thyroid Nodules According to Childhood Age Groups |
| title_sort | characteristic sonographic and follow up features of thyroid nodules according to childhood age groups |
| topic | thyroid nodule ultrasonography pediatrics |
| url | https://doi.org/10.3348/jksr.2016.75.2.126 |
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