Pediatric thyroid cancer: To whom do you send the referral?

Allison Keane, Darrin V. Bann, Meghan N. Wilson, David Goldenberg

Research output: Contribution to journalReview articlepeer-review

Abstract

Pediatric thyroid cancer is rare, but increasing in annual incidence. Differentiated thyroid cancer in pediatric patients is treated surgically. Pediatric thyroidectomies are performed by general surgeons, otolaryngologists, general pediatric surgeons, and pediatric otolaryngologists. In a comprehensive literature review, we discuss the evidence supporting the importance of surgeon subspecialty and surgeon volume on outcomes for pediatric thyroid cancer patients. Pediatric general surgeons and pediatric otolaryngologists perform most pediatric thyroidectomies. Certain subpopulations specifically benefit from a combined approach of a pediatric surgeon and a high-volume thyroid surgeon. The correlation between high-volume surgeons and lower complication rates in adult thyroid surgery applies to the pediatric population; however, the definition of high-volume for pediatric thyroidectomies requires further investigation. The development of dedicated pediatric thyroid malignancy centers and multidisciplinary or dual-surgeon approaches are advantageous.

Original languageEnglish (US)
Article number4416
JournalCancers
Volume13
Issue number17
DOIs
StatePublished - Sep 1 2021

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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