Startseite The evaluation of thyroid carcinoma in childhood and concomitance of autoimmune thyroid disorders
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

The evaluation of thyroid carcinoma in childhood and concomitance of autoimmune thyroid disorders

  • Bülent Hacıhamdioğlu , Gönül Öçal , Merih Berberoğlu , Şenay Savaş Erdeve , Emine Çamtosun , Pınar Kocaay , Suat Fitoz , Koray Ceyhan , Hüseyin Dindar , Aydın Yağmurlu , Metin Kır , Emel Unal und Zeynep Şıklar EMAIL logo
Veröffentlicht/Copyright: 22. Mai 2014

Abstract

Autoimmune thyroiditis has been suggested as a precancerous condition in some adult studies, but there is still controversy. The importance of autoimmune thyroiditis in childhood thyroid cancer is not yet completely clear. We aimed to evaluate in this study the characteristics of childhood thyroid cancer in patients particularly in terms of coexisting factors including autoimmune thyroid disorders (ATD). Twenty patients diagnosed with primary thyroid cancer were evaluated retrospectively in a Pediatric Endocrinology clinic for 10 years. Patients were followed up for 57.22±11 months. Concomitant conditions (thyroidal and/or extra thyroidal) were determined. Most of the patients (80%) had a coexisting factor. ATDs are the most frequently encountered among them (40%). The ages at the time of diagnosis were older; and the tumor sizes were smaller in patients with concomitant ATDs than without autoimmune thyroid disorders. The follow-up characteristics were similar in both groups. In conclusion, ATDs are frequently encountered in association with thyroid cancer during childhood and adolescence. A thyroid autoimmunity may facilitate the development of a malignant thyroid tumor; on the other hand, increased attention to the thyroid gland may facilitate frequent diagnosis of thyroid cancer. A close follow-up of ATD patients should also include the evaluation of the development of thyroid malignancy.


Corresponding author: Dr. Zeynep Şıklar, Ankara Üniversitesi Tıp Fakültesi Çocuk Endokrinoloji Bilim Dalı 06100, Cebeci, Ankara, Turkiye, Phone: +90 312 5956635, Fax: +90 312 3191440, E-mail:

References

1. Dinauer CA, Breuer C, Rivkees SA. Differentiated thyroid cancer in children: diagnosis and management. Curr Opin Oncol 2008;20:59–65.10.1097/CCO.0b013e3282f30220Suche in Google Scholar PubMed

2. Papendieck P, Gruñeiro-Papendieck L, Venara M, Acha O, Maglio S, et al. Differentiated thyroid carcinoma: presentation and follow-up in children and adolescents. J Pediatr Endocrinol Metab 2011;24:743–8.10.1515/JPEM.2011.241Suche in Google Scholar

3. Rivkees SA, Mazzaferri EL, Verburg FA, Reiners C, Luster M, et al. The treatment of differentiated thyroid cancer in children: emphasis on surgical approach and radioactive iodine therapy. Endocr Rev 2011;32:798–826.10.1210/er.2011-0011Suche in Google Scholar PubMed PubMed Central

4. Bhatti P, Veiga LH, Ronckers CM, Sigurdson AJ, Stovall M, et al. Risk of second primary thyroid cancer after radiotherapy for a childhood cancer in a large cohort study: an update from the childhood cancer survivor study. Radiat Res 2010;174:741–52.10.1667/RR2240.1Suche in Google Scholar PubMed PubMed Central

5. Yamashita S, Saenko V. Mechanisms of disease: molecular genetics of childhood thyroid cancers. Nat Clin Pract Endocrinol Metab 2007;3:422–9.10.1038/ncpendmet0499Suche in Google Scholar PubMed

6. Khara L, Silverman A, Bethel C, D’Cruz C, Sun X. Thyroid papillary carcinoma in a 3-year-old American boy with a family history of thyroid cancer: a case report and literature review. J Pediatr Hematol Oncol 2010;32:e118–21.10.1097/MPH.0b013e3181c97c57Suche in Google Scholar PubMed

7. Elaraj DM, Clark OH. Changing management in patients with papillary thyroid cancer. Curr Treat Options Oncol 2007;8:305–13.10.1007/s11864-007-0040-2Suche in Google Scholar PubMed

8. Paulson LM, Shindo ML, Schuff KG. Role of chronic lymphocytic thyroiditis in central node metastasis of papillary thyroid carcinoma. Otolaryngol Head Neck Surg 2012;147:444–9.10.1177/0194599812445727Suche in Google Scholar PubMed

9. Kebebew E, Treseler PA, Ituarte PH, Clark OH. Coexisting chronic lymphocytic thyroiditis and papillary thyroid cancer revisited. World J Surg 2001;25:632–7.10.1007/s002680020165Suche in Google Scholar PubMed

10. Del Rio P, Cataldo S, Sommaruga L, Concione L, Arcuri MF, et al. The association between papillary carcinoma and chronic lymphocytic thyroiditis: does it modify the prognosis of cancer? Minerva Endocrinol 2008;33:1–5.10.1159/000127404Suche in Google Scholar PubMed

11. Cunha LL, Ferreira RC, Marcello MA, Vassallo J, Ward LS. Clinical and pathological implications of concurrent autoimmune thyroid disorders and papillary thyroid cancer. J Thyroid Res 2011;387062.10.4061/2011/387062Suche in Google Scholar PubMed PubMed Central

12. Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL, et al. Management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid 2006;16:109–42.10.1089/thy.2006.16.109Suche in Google Scholar PubMed

13. Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL, et al. American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer Revised, American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid 2009;19:1167–214.10.1089/thy.2009.0110Suche in Google Scholar PubMed

14. Ergür AT, Evliyaoğlu O, Şıklar Z, Bilir P, Öcal G, et al. Evaluation of thyroid functions with respect to iodine status and TRH test in chronic autoimmune thyroiditis. J Clin Res Pediatr Endocrinol 2011;3:18–21.10.4274/jcrpe.v3i1.04Suche in Google Scholar PubMed PubMed Central

15. O’Gorman CS, Hamilton J, Rachmiel M, Gupta A, Ngan BY, et al. Thyroid cancer in childhood: a retrospective review of childhood course. Thyroid 2010;20:375–80.10.1089/thy.2009.0386Suche in Google Scholar PubMed

16. Feldt-Rasmussen U, Rasmussen AK. Autoimmunity in differentiated thyroid cancer: significance and related clinical problems. Hormones (Athens) 2010;9:109–17.10.14310/horm.2002.1261Suche in Google Scholar PubMed

17. Jonklaas J, Nogueras-Gonzalez G, Munsell M, Litofsky D, Ain KB, et al. National Thyroid Cancer Treatment Cooperative Study Group. The impact of age and gender on papillary thyroid cancer survival. J Clin Endocrinol Metab 2012;97:E878–87.10.1210/jc.2011-2864Suche in Google Scholar PubMed PubMed Central

18. Altıncık A, Demir K, Abacı A, Böber E, Büyükgebiz A. Fine-needle aspiration biopsy in the diagnosis and follow-up of thyroid nodules in childhood. J Clin Res Pediatr Endocrinol 2010;2:78–80.10.4274/jcrpe.v2i2.78Suche in Google Scholar PubMed PubMed Central

19. Siklar Z, Ocal G, Berberoğlu M, Adiyaman P, Ergür AT, et al. Importance of thyroglobulin levels for diagnosis and monitoring of follicular thyroid carcinoma in an adolescent with severe iodine deficiency. J Pediatr Endocrinol Metab 2006;19:1175–8.10.1515/JPEM.2006.19.9.1175Suche in Google Scholar

20. Redlich A, Boxberger N, Kurt Werner S, Frühwald M, Rohrer T, et al. Sensitivity of fine-needle biopsy in detecting pediatric differentiated thyroid carcinoma. Pediatr Blood Cancer 2012;59:233–7.10.1002/pbc.24051Suche in Google Scholar PubMed

21. Guarino V, Castellone MD, Avilla E, Melillo RM. Thyroid cancer and inflammation. Mol Cell Endocrinol 2010:321:94–102.10.1016/j.mce.2009.10.003Suche in Google Scholar PubMed

22. Dailey ME, Lindsay S, Skahen R. Relation of thyroid neoplasms to Hashimoto disease of the thyroid gland. AMA Arch Surg 1955;70:291–7.10.1001/archsurg.1955.01270080137023Suche in Google Scholar PubMed

23. Anıl C, Goksel S, Gursoy A. Hashimoto’s thyroiditis is not associated with increased risk of thyroid cancer in patients with thyroid nodules: a single-center prospective study. Thyroid 2010;20:601–6.10.1089/thy.2009.0450Suche in Google Scholar PubMed

24. Rago T, Di Coscio G, Ugolini C, Scutari M, Basolo F, et al. Clinical features of thyroid autoimmunity are associated with thyroiditis on histology and are not predictive of malignancy in 570 patients with indeterminate nodules on cytology who had a thyroidectomy. Clin Endocrinol (Oxf) 2007;67:363–9.10.1111/j.1365-2265.2007.02892.xSuche in Google Scholar PubMed

25. Kim ES, Lim DJ, Baek KH, Lee JM, Kim MK, et al. Thyroglobulin antibody is associated with increased cancer risk in thyroid nodules. Thyroid 2010;20:885–91.10.1089/thy.2009.0384Suche in Google Scholar PubMed

26. Loh KC, Greenspan FS, Dong F, Miller TR, Yeo PP. Influence of lymphocytic thyroiditis on the prognostic outcome of patients with papillary thyroid carcinoma. J Clin Endocrinol Metab 1999;84:458–63.10.1210/jcem.84.2.5443Suche in Google Scholar PubMed

27. Corrias A, Cassio A, Weber G, Mussa A, Wasniewska M, et al. Study Group for Thyroid Diseases of Italian Society for Pediatric Endocrinology and Diabetology (SIEDP/ISPED). Thyroid nodules and cancer in children and adolescents affected by autoimmune thyroiditis. Arch Pediatr Adolesc Med 2008;162:526–31.10.1001/archpedi.162.6.526Suche in Google Scholar PubMed

28. Gasbarri A, Sciacchitano S, Marasco A, Papotti M, Di Napoli A, et al. Detection and molecular characterisation of thyroid cancer precursor lesions in a specific subset of Hashimoto’s thyroiditis. Br J Cancer 2004;9:1096–104.10.1038/sj.bjc.6602097Suche in Google Scholar PubMed PubMed Central

29. Mondal HP, Sen S, Sasmal S, Ghosal PK, Mukhopadhyay SK, et al. Clinicopathological correlation of serum TSH in patients with thyroid nodule. J Ind Med Assoc 2011;109:330–8.Suche in Google Scholar

30. Kim SS, Lee BJ, Lee JC, Song SH, Kim BH, et al. Preoperative serum thyroid stimulating hormone levels in well-differentiated thyroid carcinoma is a predictive factor for lateral lymph node metastasis as well as extrathyroidal extension in Korean patients: a single-center experience. Endocrine 2011;39:259–65.10.1007/s12020-010-9430-5Suche in Google Scholar PubMed

31. Spencer CA. Clinical review: clinical utility of thyroglobulin antibody (TgAb) measurements for patients with differentiated thyroid cancers (DTC). J Clin Endocrinol Metab 2011;96:3615–27.10.1210/jc.2011-1740Suche in Google Scholar PubMed

32. Chung JK, Park YJ, Kim TY, So Y, Kim SK, et al. Clinical significance of elevated level of serum antithyroglobulin antibody in patients with differentiated thyroid cancer after thyroid ablation. Clin Endocrinol (Oxf) 2002;57:215–21.10.1046/j.1365-2265.2002.01592.xSuche in Google Scholar PubMed

33. Kim WG, Yoon JH, Kim WB, Kim TY, Kim EY, et al. Change of serum antithyroglobulin antibody levels is useful for prediction of clinical recurrence in thyroglobulin-negative patients with differentiated thyroid carcinoma. J Clin Endocrinol Metab 2008;93:4683–9.10.1210/jc.2008-0962Suche in Google Scholar PubMed

34. Lazar L, Lebenthal Y, Steinmetz A, Yackobovitch-Gavan M, Phillip M. Differentiated thyroid carcinoma in pediatric patients: comparison of presentation and course between pre-pubertal children and adolescents. J Pediatr 2009;154:708–14.10.1016/j.jpeds.2008.11.059Suche in Google Scholar PubMed

35. Demidchik YE, Demidchik EP, Reiners C, Biko J, Mine M, et al. Comprehensive clinical assessment of 740 cases of surgically treated thyroid cancer in children of Belarus. Ann Surg 2006;243:525–32.10.1097/01.sla.0000205977.74806.0bSuche in Google Scholar PubMed PubMed Central

36. Şıklar Z, Berberoğlu M, Yağmurlu A, Hacıhamdioğlu B, Savaş Erdeve S, et al. Synchronous occurrence of papillary carcinoma in the thyroid gland and thyroglossal duct in an adolescent with congenital hypothyroidism. J Clin Res Pediatr Endocrinol 2012;4:30–3.10.4274/jcrpe.477Suche in Google Scholar PubMed PubMed Central

Received: 2013-6-27
Accepted: 2014-4-11
Published Online: 2014-5-22
Published in Print: 2014-9-20

©2014 by De Gruyter

Artikel in diesem Heft

  1. Frontmatter
  2. Review article
  3. Towards an optimization of the management of endocrine complications of thalassemia
  4. Original articles
  5. The natural course of Hashimoto’s thyroiditis in children and adolescents
  6. Muscle strength and body composition during the transition phase in patients treated with recombinant GH to final height
  7. Benign vaginal bleeding in 24 prepubertal patients: clinical, biochemical and imaging features
  8. Evaluation of epicardial adipose tissue, carotid intima-media thickness and ventricular functions in obese children and adolescents
  9. Counseling patients with succinate dehydrogenase subunit defects: genetics, preventive guidelines, and dealing with uncertainty
  10. Pubertal development profile in patients with Turner syndrome
  11. A novel CASR mutation associated with neonatal severe hyperparathyroidism transmitted as an autosomal recessive disorder
  12. Serum insulin-like growth factor-binding protein-3 level correlated with glycemic control and lipid profiles in children and adolescents with type 1 diabetes
  13. Adult human liver mesenchymal progenitor cells express phenylalanine hydroxylase
  14. Clinical applicability of rapid detection of SRY and DYS14 genes in patients with disorders of sex development using an indigenously developed 5′ exonuclease based assay
  15. Hereditary 1,25-dihydroxyvitamin D-resistant rickets with alopecia in four Egyptian families: report of three novel mutations in the vitamin D receptor gene
  16. Permanent neonatal diabetes mellitus in Jordan
  17. The effect of adenotonsilectomy on ghrelin, leptin, IGF-1 levels and growth parameters in children with adenotonsillar hypertrophy
  18. The role of anti-Mullerian and inhibin B hormones in the evaluation of 46,XY disorders of sex development
  19. The evaluation of thyroid carcinoma in childhood and concomitance of autoimmune thyroid disorders
  20. Lipid patterns in treated growth hormone deficient children vs. short stature controls
  21. Assessment of aortic morphology and compliance in children and adolescents with Ullrich-Turner syndrome (UTS) using magnetic resonance imaging (MRI)
  22. Management of central diabetes insipidus with oral desmopressin lyophilisate in infants
  23. Maternal factors and complications of preterm birth associated with neonatal thyroid stimulating hormone
  24. Patient reports
  25. A rare case of pituitary infarction leading to spontaneous tumour resolution and CSF-sella syndrome in an 11-year-old girl and a review of the paediatric literature
  26. Rare case of homozygous epimerase deficiency and heterozygous of duarte 2 variant
  27. Persistent congenital hyperinsulinism in two patients with Beckwith-Wiedemann syndrome due to mosaic uniparental disomy 11p
  28. Growth hormone treatment in a patient with Hurler-Scheie syndrome
  29. Neonatal diagnosis of a patient with hypoparathyroidism, sensorineural deafness and renal dysplasia (HDR) syndrome associated with cerebral infarction
  30. Early-onset diabetes mellitus and neurodevelopmental retardation: the first Greek case of Wolcott-Rallison syndrome
  31. Type III Bartter-like syndrome in an infant boy with Gitelman syndrome and autosomal dominant familial neurohypophyseal diabetes insipidus
  32. Cushing’s syndrome: hidden risk in usage of topical corticosteroids
  33. Prader-Willi syndrome: a case report with atypical developmental features
  34. Berardinelli-Seip congenital lipodystrophy: an autosomal recessive disorder with rare association of duodenocolonic polyps
  35. Ectopic Cushing syndrome secondary to metastatic medullary thyroid cancer in a child with multiple endocrine neoplasia syndrome type 2B: clues to early diagnosis of the paraneoplastic syndromes
  36. Ovarian hyperstimulation syndrome treated by medroxyprogesterone acetate
  37. Symptomatic cerebral infarction in a child with severe diabetic ketoacidosis
  38. A rare case of familial Cushing’s syndrome with a common presentation of weight gain due to a mutation of the PRKAR1A gene causing isolated primary pigmented nodular adrenocortical disease
  39. Multiple autoimmunity, type 1 diabetes (T1DM), autoimmune thyroiditis and thyroid cancer: is there an association? A case report and literature review
  40. Cholestasis and protein-losing enteropathy secondary to hyperthyroidism in a 6-year-old girl
  41. Short communication
  42. An essential splice site mutation (c.317+1G>A) in the TSHR gene leads to severe thyroid dysgenesis
  43. Letter to the Editor
  44. Pubertal gynecomastia: what about the remaining 10%?
Heruntergeladen am 27.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/jpem-2013-0273/html
Button zum nach oben scrollen