Consensus statement by the American Association of Clinical Endocrinology (AACE) and the American Head and Neck Society Endocrine Surgery Section (AHNS-ES) on Pediatric Benign and Malignant Thyroid Surgery

Brendan C. Stack*, Christine Twining, Jeff Rastatter, Peter Angelos, Zubair Baloch, Gillian Diercks, William Faquin, Ken Kazahaya, Scott Rivkees, Tony Sheyn, Jennifer J. Shin, Jessica Smith, Geoffrey Thompson, Pushpa Viswanathan, Ari Wassner, Jennifer Brooks, Gregory W. Randolph

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To provide a clinical disease state review of recent relevant literature and to generate expert consensus statements regarding the breadth of pediatric thyroid cancer diagnosis and care, with an emphasis on thyroid surgery. To generate expert statements to educate pediatric practitioners on the state-of-the-art practices and the value of surgical experience in the management of this unusual and challenging disease in children. Methods: A literature search was conducted and statements were constructed and subjected to a modified Delphi process to measure the consensus of the expert author panel. The wording of statements, voting tabulation, and statistical analysis were overseen by a Delphi expert (J.J.S.). Results: Twenty-five consensus statements were created and subjected to a modified Delphi analysis to measure the strength of consensus of the expert author panel. All statements reached a level of consensus, and the majority of statements reached the highest level of consensus. Conclusion: Pediatric thyroid cancer has many unique nuances, such as bulky cervical adenopathy on presentation, an increased incidence of diffuse sclerosing variant, and a longer potential lifespan to endure potential complications from treatment. Complications can be a burden to parents and patients alike. We suggest that optimal outcomes and decreased morbidity will come from the use of advanced imaging, diagnostic testing, and neural monitoring of patients treated at high-volume centers by high-volume surgeons.

Original languageEnglish (US)
Pages (from-to)1027-1042
Number of pages16
JournalHead and Neck
Volume43
Issue number4
DOIs
StatePublished - Apr 2021

Keywords

  • complications
  • differentiated
  • diffuse sclerosing variant
  • hypoparathyroidism
  • laryngeal nerve monitoring
  • neck dissection
  • pediatric
  • surgery
  • surgical outcomes
  • thyroid cancer

ASJC Scopus subject areas

  • Otorhinolaryngology

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