Papilárny karcinóm štítnej žľazy u dvojročného dieťaťa

Cieľ:
Ochorenia štítnej žľazy u detí sú zriedkavé. Na rozdiel od prevalencie, malígne nádory sú častejšie u detí (26 % tyreopatií) v porovnaní s dospelými (5 – 10 % tyreopatií). K rizikovým faktorom ich vzniku patrí ženské pohlavie, postpubertálny vek, už existujúce ochorenie štítnej žľazy, predchádzajúce ožarovanie oblasti krku a pozitívna rodinná anamnéza tyreopatie. U detí mladších ako 10 rokov, bez prítomnosti rizikových faktorov, sa malígne nádory štítnej žľazy vyskytujú raritne.

Kazuistika:
Dvojročné zdravé dievčatko bolo prijaté na naše pracovisko pre uzol laloka štítnej žľazy vpravo. Hladina tyreoidálnych hormónov bola v norme. Ultrasonografické vyšetrenie opísalo nehomogénny uzol veľkosti 4,8 × 3,2 × 2,5 cm. Dieťa podstúpilo pravostrannú hemityreoidektómiu. Na základe výsledku histopatologického vyšetrenia, ktoré odhalilo papilárny karcinóm štítnej žľazy, bola následne vykonaná reoperácia v zmysle dokončenia tyreoidektómie a selektívna disekcia lymfatických uzlín krku.

Záver:
Prezentujeme veľmi vzácny prípad papilárneho karcinómu štítnej žľazy u dvojročného dieťaťa bez prítomnosti rizikových faktorov. Výskyt uzla štítnej žľazy u takto malých detí môže byť podmienený malignitou, preto vyžaduje podrobnú diagnostiku a vhodnú liečbu.

Kľúčové slová:
papilárny karcinóm – štítna žľaza – detský vek – epidemiológia – diagnostika – liečba

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Obdržané:
3. 11. 2015

Prijaté:
7. 12. 2015

Autoři: B. Uhliarová ¹; A. Hajtman ²
Působiště autorů: Department of Otorhinolaryngology, FD Roosevelt Faculty Hospital, Banska Bystrica, Slovak Republic ¹; Department Of Otorhinolaryngology, Head and Neck Surgery, Comenius University, Jessenius Faculty of Medicine, University Hospital, Martin, Slovak Republic ²
Vyšlo v časopise: Klin Onkol 2016; 29(2): 139-144
Kategorie: Kazuistika
prolekare.web.journal.doi_sk: https://doi.org/10.14735/amko2016139

Souhrn

Obdržané:
3. 11. 2015

Prijaté:
7. 12. 2015

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