Evidence map›Paper›PMID 38683018›Full record

ArticleJournal of clinical research in pediatric endocrinology2024

Differentiated Thyroid Cancer in Children and Adolescents: 12-year Experience in a Single Center

Francisca Marques Puga, Laura Correia, Inês Vieira, Joana Serra Caetano, Rita Cardoso, Isabel Dinis, Alice Mirante

Abstract read
In one paragraph

Article in Journal of clinical research in pediatric endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Pathogenesis of Thyroid Cancer with Particular Emphasis on the Role of AnoikisJournal of clinical research in pediatric endocrinology · 2026
    Review
  2. Article
  3. Thyroid cancer: experience at a state pediatric referral center.Revista da Associacao Medica Brasileira (1992) · 2026
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Francisca Marques PugaUnidade Local de Saúde de Santo António, Serviço de Endocrinologia, Diabetes e Metabolismo, Porto, PortugalORCID 0000-0002-9510-419X
Laura CorreiaUnidade Local de Saúde de Aveiro, Serviço de Pediatria, Aveiro, PortugalORCID 0000-0002-6543-3929
Inês VieiraUnidade Local de Saúde de Coimbra, Serviço de Endocrinologia, Diabetes e Metabolismo, Coimbra, PortugalORCID 0000-0003-3360-0486
Joana Serra CaetanoUnidade Local de Saúde de Coimbra, Hospital Pediátrico de Coimbra, Unidade de Endocrinologia Pediátrica, Diabetes e Crescimento, Coimbra, PortugalORCID 0000-0002-0372-7841
Rita CardosoUnidade Local de Saúde de Coimbra, Hospital Pediátrico de Coimbra, Unidade de Endocrinologia Pediátrica, Diabetes e Crescimento, Coimbra, Portugal
Isabel DinisUnidade Local de Saúde de Coimbra, Hospital Pediátrico de Coimbra, Unidade de Endocrinologia Pediátrica, Diabetes e Crescimento, Coimbra, Portugal
Alice MiranteUnidade Local de Saúde de Coimbra, Hospital Pediátrico de Coimbra, Unidade de Endocrinologia Pediátrica, Diabetes e Crescimento, Coimbra, PortugalORCID 0000-0003-4138-8622

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Differentiated thyroid cancer (DTC) is the most common pediatric endocrine cancer but studies are scarce. Latest recommendations advocate for an individualized risk-based approach to select patients for additional therapy. Lymphovascular invasion is not considered, despite being a well-known risk factor in the adult population. The aim of this study was to describe the outcomes of a cohort of DTC patients diagnosed at pediatric age and to evaluate the impact of lymphovascular invasion on the risk of persistence/recurrence. Methods: A retrospective study of patients diagnosed with DTC at pediatric age from 2010 to 2022 at a single center was performed. All patients had total thyroidectomy. Radioactive iodine therapy (RAI) was used in selected patients. The response to therapy and occurrence of persistent/recurrent disease were evaluated. Results: A total of 21 DTC were diagnosed, mostly papillary thyroid carcinoma (PTC) (81.0%, n=17). Six patients (28.6%) had nodal involvement and one (4.8%) had lung metastasis at the time of the diagnosis. Lymphovascular invasion was present in 11 patients (52.4%). After surgery, 13 patients (61.9%) underwent RAI. The mean follow-up time was 5.7±3.1 years. In total, 6 patients (31.6%) experienced persistent/recurrent disease during the follow-up time. Among PTC patients, persistent/recurrent disease was more frequent in the presence of lymphovascular invasion [55.6% (5/9) vs. 0.0% (0/6), p=0.031]. Conclusion: An individualized risk-based approach is recommended. Our study suggests that lymphovascular invasion may be associated with a higher risk of persistence/recurrence and should therefore be considered for decision making in children and adolescents with PTC.

Indexed as

Neoplasm Recurrence, LocalThyroidectomyThyroid NeoplasmsAdolescentChildFemaleFollow-Up StudiesHumansIodine RadioisotopesMaleRetrospective StudiesThyroid Cancer, PapillaryIodine Radioisotopeschildren and adolescentsDifferentiated thyroid cancerlymphovascular invasionpapillary thyroid cancerpediatricpersistencerecurrence

Identifiers

PMID38683018
PMCPMC11590767

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.