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Minimally invasive thyroid surgery effective in children
Date:4/13/2011

ss-invasive approach. "The technique is very reliable, very reproducible and less invasive so it's logical that it would have all of those advantages regardless of the patient's age."

Nearly half the children in the 2003-08 group had cancerous growths compared to about a 5 percent incidence in adults. The risk of thyroid growth increases with age. "The thyroid should not form many nodules in an 8- or 12-year-old," Terris said. When cancer is found, patients receive radioactive iodine that selectively destroys cells that can remain after surgery. Thyroid cells are the only cells that absorb iodine so the radioactive version is also taken up by thyroid cells that have become cancerous. Years later, cancer cells may recur in nearby lymph nodes but typically the nodes can be safely removed, Terris said. He notes that thyroid cancer typically is highly treatable because it may act more like a chronic disease than a killer.

Children eligible for a minimally invasive approach likely are best treated in a high-volume thyroid center, he and Seybt write. They are continuing to monitor the success of the approach in a larger number of children and beginning to use the daVinci robotic Surgical System, which enables a behind-the-ear incision that eliminates any neck scar.

In 2009 in Archives of Otolaryngology Head and Neck Surgery, Seybt showed that thyroid surgery was safe for older patients who had outpatient surgery rates and complication rates similar to those of younger patients. Terris reported in 2006 in Laryngoscope that the newer, minimally invasive approaches, which reduce incision size and recovery time, are safe for most adults.

Thyroid problems are most common in women. Although the cause is unknown, exposure to head and neck radiation is a risk factor. Because of the close proximity to the nerves that supply the vocal cords, thyroid surgery can cause transient or permanent hoarseness. Low calcium levels are a common complication because
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Contact: Toni Baker
tbaker@georgiahealth.edu
706-721-4421
Georgia Health Sciences University
Source:Eurekalert  

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