Thyroid and associated polyglandular neoplasms in patients who received head and neck irradiation during childhood
Journal Article
·
· Head Neck Surg.; (United States)
One hundred fifty-one patients with a history of childhood irradiation to the head, neck, and thorax had neck explorations (142 for cold thyroid nodules and 9 for hypercalcemia). Fifty-nine of the patients had thyroid carcinoma, and associated glandular tumors were found in 20 others. In addition, 6 female patients developed breast carcinoma; 4 of these women also had thyroid carcinoma. In this series, 48.6% of the patients irradiated for acne and 36.4% with tonsil and adenoid irradiation developed thyroid carcinoma, but only 10.5% with thymic irradiation did so. It is suggested that the workup on these patients include not only complete thyroid and parathyroid testing, but also a careful examination of all salivary glands, both major and minor. Women should have thorough breast examinations and should perhaps be followed as if they were in the potentially high-risk breast group. When thyroid surgery is performed, a total thyroidectomy is recommended.
- Research Organization:
- Division of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA
- OSTI ID:
- 6565634
- Journal Information:
- Head Neck Surg.; (United States), Journal Name: Head Neck Surg.; (United States) Vol. 1:5; ISSN HNSUD
- Country of Publication:
- United States
- Language:
- English
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560151 -- Radiation Effects on Animals-- Man
62 RADIOLOGY AND NUCLEAR MEDICINE
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
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