The interpretation of management guidelines for children with thyroid nodules and differentiated thyroid cancer: radioactive iodine therapy and new progress

杨　珂; 郑　容; 林岩松

doi:10.19401/j.cnki.1007-3639.2019.06.001

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The interpretation of management guidelines for children with thyroid nodules and differentiated thyroid cancer: radioactive iodine therapy and new progress

更新时间：2026-01-27

- The interpretation of management guidelines for children with thyroid nodules and differentiated thyroid cancer: radioactive iodine therapy and new progress
- China Oncology Vol. 29, Issue 6, Pages: 401-411(2019)
- 作者机构：
  
  1. 中国医学科学院肿瘤医院核医学科,北京,100021
  2. 中国医学科学院北京协和医学院北京协和医院核医学科,北京,100730
- 作者简介：
- 基金信息：
- DOI：10.19401/j.cnki.1007-3639.2019.06.001
  CLC： R736.1
- Published Online：12 July 2019，
  
  Published：12 July 2019
- 稿件说明：
移动端阅览
杨　珂，郑　容，林岩松. 儿童青少年甲状腺癌诊治指南解读及其进展——核医学部分[J]. 中国癌症杂志, 2019, 29(6): 401-411.

杨　珂, 郑　容, 林岩松. The interpretation of management guidelines for children with thyroid nodules and differentiated thyroid cancer: radioactive iodine therapy and new progress[J]. China Oncology, 2019, 29(6): 401-411.
杨　珂，郑　容，林岩松. 儿童青少年甲状腺癌诊治指南解读及其进展——核医学部分[J]. 中国癌症杂志, 2019, 29(6): 401-411. DOI： 10.19401/j.cnki.1007-3639.2019.06.001.

杨　珂, 郑　容, 林岩松. The interpretation of management guidelines for children with thyroid nodules and differentiated thyroid cancer: radioactive iodine therapy and new progress[J]. China Oncology, 2019, 29(6): 401-411. DOI： 10.19401/j.cnki.1007-3639.2019.06.001.

摘要

儿童分化型甲状腺癌（children differentiated thyroid cancer， cDTC）的病理生理、临床特征及远期预后与成人DTC（adult DTC，aDTC）均存在较大差异，以往的指南及其证据多基于aDTC证据的推荐，2015年美国甲状腺协会（American Thyroid Association，ATA）发布的cDTC诊治指南在一定程度上填补了目前cDTC临床决策指导的空白。就cDTC的病理及预后特征、风险分层、术后评估、

131

I治疗决策及随访对该儿童指南进行解读，并纳入近年来有关cDTC的研究证据对指南部分内容加以补充说明。

Abstract

Compared with adults differentiated thyroid cancer (aDTC)

children differentiated thyroid cancer (cDTC) exhibit differences in pathophysiology

clinical presentation

and long-term outcomes. However

previous guidelines for the management of thyroid nodules and cancers were based on the evidence of aDTC. The American Thyroid Association (ATA) children guidelines provide recommendations for the evaluation and management of cDTC to help guide the clinical decisions. This article interprets the pathology and clinical outcomes of cDTC

risk stratification

postoperative assessments

decisions regarding

131

I therapy an

d follow-up in ATA children guidelines as well as updated literature about cDTC in recent years.

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Related Author

林岩松

李　娇

Xiaoliang LIU

Xiaorong HOU

Bo ZHANG

Ruyu LIU

Chenyi WANG

Yihan ZHAO

Related Institution

青岛大学附属医院肿瘤科

中国医学科学院北京协和医院核医学科

Department of Radiation Oncology, Peking Union Medical College Hospital & Chinese Academy of Medical Sciences

Japan Friendship Hospital (Institute of Clinical Medical Sciences), Peking Union Medical College, Chinese Academy of Medical Sciences,, China

Department of Ultrasound, China-Japan Friendship Hospital

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