The thyroid pathology in the paediatric population represents 5% of the total and 1.2% only thyroid pathology correspond to the infantile solitary
thyroid nodules. Most of them are asymptomatic and as only sign an increase of volume is observed in the neck. Always we have to ask about the family history because the possibility of
medullary carcinoma related with multiple endocrine
neoplasias should be investigated (a patient of our series). The thyroid
tumor represents 0.5% of all the
tumors and of these 10% is in younger than 21 years old. We present 13 patients with thyroid pathology that have required surgical treatment, since 1983 to 1997. Five
papillary carcinomas (ages: 7 to 14 years old) that started with a cervical nodule, normal thyroid function and a case of
medullary carcinoma, in a
multiple endocrine neoplasia (
MEN II 2A). In the 5 cases of
carcinoma papillary we were carried out total
thyroidectomy and later on, postoperative ablative dose of 131I was administered. In the case of the girl with
medullary carcinoma was carried out a total tumorectomy and
lymph node excision. Finally, seven patients with
nodule thyroid were thyroid benign
tumors (benign 6
adenomas and 1
cyst colloid, ages: 8 to 15 years old). In all of them we were carried out total surgical excision of the
thyroid nodules. Our protocol of study of
nodule thyroid includes: 1) thyroid gammagraphy to know the intensity of reception of the
isotope; 2) cervical ultrasound; and 3) biopsy or cytopathology of fine needle aspiration of the thyroid gland in children that it dissuades to base the surgical strategy on this test.