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Pediatric Papillary Thyroid Cancer
Pediatric Papillary Thyroid Cancer
What is Pediatric Papillary Thyroid Cancer?
Papillary thyroid carcinoma is the most common type of cancer of the thyroid gland, accounting for about 85-90% of all pediatric thyroid cancer diagnoses.
What are the signs and symptoms of Pediatric Papillary Thyroid Cancer?
Many children will not have any symptoms when they are diagnosed or until the disease has progressed. Papillary thyroid carcinoma is most commonly found as a lump or swelling in the neck. Parents may notice a change in their child’s voice, or their child may complain of neck or throat pain, difficulty breathing, or a “lump” in their throat when swallowing. Sometimes it is identified only incidentally after a radiologic study of the neck is ordered for another reason and a lesion is seen in the thyroid gland.
How is Pediatric Papillary Thyroid Cancer diagnosed?
- History and physical
- Blood work
- Ultrasound
- Fine needle aspiration
Based on the results of these and possible additional studies, a treatment plan will be recommended.
What are the causes of Pediatric Papillary Thyroid Cancer?
As with all types of cancers, papillary thyroid carcinoma is caused by the reproduction of abnormal cells forming what is known as a tumor. The exact trigger for this growth is unknown.
How is Pediatric Papillary Thyroid Cancer treated?
The extent of surgical and medical treatment will depend on the extent of your child’s disease.
Surgery
Initial treatment consists of surgical excision of all or part of the thyroid gland. Papillary thyroid carcinoma can spread through the body’s lymphatic system to lymph nodes in the neck adjacent to the thyroid gland and beyond, and surgical removal of these lymph nodes may also be required. In more advanced cases it may spread to the lungs.
Radioactive iodine treatment
Once surgical treatment is complete, radioactive iodine treatment is administered. Radioactive iodine treatment involves taking a pill that targets and kills any remaining thyroid tissue left after surgery.
Chemotherapy or external radiation
In rare cases chemotherapy or external radiation may be required to treat extensive or residual disease.
Pediatric Papillary Thyroid Cancer Doctors and Providers
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Perrin White, MD Pediatric EndocrinologistDivision Director at Children's Health Professor at UT Southwestern Medical CenterRead Perrin White's Full ProfilePerrin White, MDPediatric Endocrinologist
Board Certification:
American Board of Pediatrics/Endocrinology -
Soumya Adhikari, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Soumya Adhikari's Full ProfileSoumya Adhikari, MDPediatric Endocrinologist
Board Certification:
American Board of Pediatrics/Endocrinology -
Abha Choudhary, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Abha Choudhary's Full ProfileAbha Choudhary, MDPediatric Endocrinologist
Board Certification:
American Board of Pediatrics/Endocrinology -
Ximena Lopez, MD Pediatric EndocrinologistMedical Director, GENECIS Program at Children's Health Associate Professor at UT Southwestern Medical CenterRead Ximena Lopez's Full ProfileBoard Certification:
American Board of Pediatrics/Endocrinology -
Bryan Dickson, MD Pediatric EndocrinologistProfessor at UT Southwestern Medical CenterRead Bryan Dickson's Full ProfileBryan Dickson, MDPediatric Endocrinologist
Board Certification:
American Board of Pediatrics/Endocrinology -
Ellen Grishman, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Ellen Grishman's Full ProfileBoard Certification:
American Board of Pediatrics/Endocrinology -
Olga Gupta, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Olga Gupta's Full ProfileOlga Gupta, MDPediatric Endocrinologist
Board Certification:
American Board of Pediatrics/Endocrinology -
Melissa Ham, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Melissa Ham's Full ProfileMelissa Ham, MDPediatric Endocrinologist
Board Certification:
American Board of Pediatrics/Endocrinology -
Huay-Lin Lo, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Huay-Lin Lo's Full ProfileHuay-Lin Lo, MDPediatric Endocrinologist
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Muniza Mogri, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Muniza Mogri's Full ProfileMuniza Mogri, MDPediatric Endocrinologist
Board Certification:
American Board of Pediatrics/Endocrinology -
Sudha Mootha, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Sudha Mootha's Full ProfileBoard Certification:
American Board of Pediatrics/Endocrinology -
Nivedita Patni, MD Pediatric EndocrinologistInstructor at UT Southwestern Medical CenterRead Nivedita Patni's Full ProfileNivedita Patni, MDPediatric Endocrinologist
Board Certification:
American Board of Pediatrics/Endocrinology -
Amanda Shaw, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Amanda Shaw's Full ProfileAmanda Shaw, MDPediatric Endocrinologist
Board Certification:
American Board of Pediatrics/Endocrinology -
Ryan Stewart, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Ryan Stewart's Full ProfileBoard Certification:
American Board of Pediatrics/Endocrinology -
Grace Tannin, MD Pediatric EndocrinologistAssociate Professor at UT Southwestern Medical CenterRead Grace Tannin's Full ProfileBoard Certification:
American Board of Pediatrics/Endocrinology -
Ming Yang, MD Pediatric EndocrinologistAssistant Professor at UT Southwestern Medical CenterRead Ming Yang's Full ProfileMing Yang, MDPediatric Endocrinologist
Frequently Asked Questions
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What is the prognosis of a patient diagnosed with papillary thyroid carcinoma?
Papillary thyroid carcinoma tends to grow slowly and respond well to treatment. The overall prognosis for pediatric patients with papillary thyroid carcinoma is excellent. Individual prognosis depends on multiple factors, particularly whether or not the disease has spread outside of the thyroid gland.
Even with disease that has spread outside of the thyroid gland, papillary thyroid carcinoma remains very treatable. Still, persistent and recurrent disease is more common in the pediatric population and may present even decades after initial treatment and a long period during which there was no evidence of disease. For this reason, multiple procedures and multiple radioactive iodine treatments may be required and long-term follow-up is critical.
While recurrent disease is actually more common in children than in adults, the outcomes in pediatric patients with recurrence are actually better. With appropriate treatment, most patients with papillary thyroid carcinoma can expect a long and fulfilling life.
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What can a patient expect after treatment for papillary thyroid carcinoma?
Patients will need close follow-up to monitor for disease recurrence after surgery. Thyroid hormone replacement therapy is generally taken by mouth for the rest of the patient’s life to replace the hormone that the body needs but can no longer produce once the gland has been removed.