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Sonography in thyroid carcinoma in children

Cristiant J. Garcia, MD Alan Daneman, MD, BCh, FRCPC Kieran McHugh, MB, FRCR Helen Chan, MD ^* and Denis Daneman, MB, BCh, FRCPC ^*

Department of Radiology, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8 ^* Department of Pediatrics, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8

This paper reviews the clinical, sonographic and pathological findings of 20 children with thyroid carcinoma in an attempt to determine the value and limitations of sonography in thyroid neoplasms in this age group. Although sonography is an excellent technique for the evaluation of thyroid disorders and masses, certain limitations must be kept in mind. Microscopic foci of tumour might be missed and sonography cannot predictably differentiate benign from malignant disease. Previous radiation exposure should increase the level of suspicion for malignancy.

Key Words: Carcinoma • Children • Sonography • Thyroid

Present address: Departamento de Radiologia, Hospital Clinico Universidad Catolica de Chile, Marcoleta 347, Santiago, Chile, South America.

Received for publication January 7, 1992. Revision received May 14, 1992. Accepted for publication June 3, 1992.

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