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Pediatric thyroid surgery: Retrospective analysis on the first 25 pediatric thyroidectomies performed in a reference center for adult thyroid diseases

Pediatric thyroid surgery: Retrospective analysis on the first 25 pediatric thyroidectomies performed in a reference center for adult thyroid diseases

Source : https://www.frontiersin.org/articles/10.3389/fendo.2023.1126436/full

IntroductionPediatric thyroid carcinoma represents about 4-5% of all pediatric carcinoma with an incidence of 0.5 cases/100,000, compared to 2-10/100000 cases in the adult population. The aim of this study is...

Conclusions: Pediatric thyroid nodules are rare and distinguished from adult thyroid disease by a worse prognosis and higher malignancy rates. Our work reports a much higher malignancy rate among indeterminate TIR 3B lesions than observed in the adult population and the three patients who underwent prophylactic total thyroidectomy for...

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Diffuse sclerosing variant papillary thyroid carcinoma has worse survival than classic papillary thyroid carcinoma: a meta-analysis - PubMed

Diffuse sclerosing variant papillary thyroid carcinoma has worse survival than classic papillary thyroid carcinoma: a meta-analysis - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36952650/

Diffuse sclerosing variant of papillary thyroid carcinoma (DSV) is a rare form of thyroid cancer that demonstrates more aggressive histopathology than classical papillary thyroid cancer (c-PTC) however if this leads...

Conclusions/Relevance:  The high prevalence of RET fusions offers the potential to improve outcomes for patients with DSV.

 

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A Familial Case of Multiple Endocrine Neoplasia 2A: From Morphology to Genetic Alterations Penetration in Three Generations of a Family - PubMed

A Familial Case of Multiple Endocrine Neoplasia 2A: From Morphology to Genetic Alterations Penetration in Three Generations of a Family - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36900098/

This paper illustrates a rare syndrome of multiple endocrine neoplasia type 2A (MEN2A) in a family of three generations. In our case, the father, son and one daughter developed phaeochromocytoma...

Conclusions/Relevance: A few lessons can be learned from this unique case. Successful diagnosis requires high suspicion and surveillance and a tri-level methodology including a careful review of family history, pathology and genetic counselling.

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Challenges and strategies to combat resistance mechanisms in thyroid cancer therapeutics - PubMed

Challenges and strategies to combat resistance mechanisms in thyroid cancer therapeutics - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36924302/

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Conclusions: Progression-free survival is curtailed by developing acquired resistance. To minimise this therapeutic liability, clinicians must be anticipatory in identifying the drivers and characterising mechanisms of on target resistance.

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The Changing Face of Multiple Endocrine Neoplasia 2A: From Symptom-Based to Preventative Medicine - PubMed

The Changing Face of Multiple Endocrine Neoplasia 2A: From Symptom-Based to Preventative Medicine - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36930525/

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Conclusion: These insights into MEN2A presentation, adjusted by birth year, illustrate the shift from reactive to preventative medicine, enabling less extensive risk-reducing surgery.