Thyroid Nodules in Children With Familial Adenomatous Polyposis.

Smith, Jessica R; Kamihara, Junne; Church, Alanna J; Asch, Elizabeth; Cherella, Christine E; Fox, Victor L; Wassner, Ari J · Am J Gastroenterol · 2022

cross_sectional · Level IV

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Abstract

Ultrasound screening for thyroid cancer is recommended in familial adenomatous polyposis (FAP). This study investigated the prevalence of thyroid neoplasia in children with FAP. Cross-sectional study of children with FAP at an academic hospital. Clinical and ultrasound data were analyzed for the prevalence of thyroid nodules and cancer. Of 37 children with FAP, 8 (22%) had thyroid nodules and 2 (5%) had thyroid cancer. Nodules (30%) and cancer (9%) were more common among female subjects and rare among male subjects. Thyroid ultrasound screening in adolescence may benefit female subjects with FAP but has limited utility in male subjects.

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