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Papillary thyroid carcinoma in a 7-year-old boy presenting with a goitre without microcalcifications and enlarged cervical lymph nodes
  1. Maria Cecilia Schultze1,
  2. Cintia Castro-Correia2,
  3. Maria Bom-Sucesso3 and
  4. Marianne Becker4
  1. 1Pediatrics, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg
  2. 2Pediatric Endocrinology and Diabetology Unit, Centro Hospitalar Universitario de Sao Joao, Porto, Portugal
  3. 3Pediatric Hematology-Oncology Unit, Hospital de Sao Joao, Porto, Portugal
  4. 4Pediatric Endocrinology and Diabetology, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg
  1. Correspondence to Dr Marianne Becker; becker.marianne{at}chl.lu

Abstract

The most frequent type of thyroid malignancy in children is papillary thyroid carcinoma (PTC), which usually presents as a thyroid nodule, but may also present as a diffuse infiltration with microcalcifications. Herein, we report the case of an uncommon presentation of a PTC in a 7-year-old boy. The child was referred for a goiter with cervical lymphadenopathies. Ultrasonography showed a hypervascularised goiter without microcalcifications but with numerous bilateral cervical nodular formations. A lymph node biopsy revealed metastatic thyroid cancer, hence a total thyroidectomy and complete neck dissection were performed. Histopathology confirmed a PTC. Ablative 131I, 30 mCi was performed 4 months postsurgery. At the end of this treatment, a metastatic lung nodule was identified. Since then, another three ablative 131I treatments have been administered. Thyroid cancers presenting as a diffuse infiltration without microcalcifications are rare. In the presence of lymphadenopathies, thyroid cancer needs to be suspected, even without microcalcifications.

  • paediatric oncology
  • thyroid disease
  • head and neck surgery
  • radiotherapy

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Footnotes

  • Contributors MCS has written this article. CC-C and MB-S have provided information for the follow-up. MB has made corrections of the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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