Clinical, Radiologic and Cytologic Predictors of Malignancy in Pediatric Thyroid Nodules: Insights From a 26-Year Cohort Study - Report - MDSpire

Predictive Factors for Malignancy in Pediatric Thyroid Nodules: A Comprehensive Analysis from a 26-Year Cohort Study on Clinical, Radiologic, and Cytologic Aspects

  • By

  • Maxime Gest-Laurent

  • Adrien Nguyen Quoc

  • Christine Lefevre

  • Laura González-Briceño

  • Caroline Thalassinos

  • Isabelle Flechtner

  • Dulanjalee Kariyawasam

  • Yamina Dassa

  • Magali Viaud

  • Dinane Samara-Boustani

  • Graziella Pinto

  • Hervé Monpeyssen

  • Sabine Sarnacki

  • Vincent Couloigner

  • Michel Polak

  • Athanasia Stoupa

  • July 6, 2026

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Clinical Report: Predictive Factors for Malignancy in Pediatric Thyroid Nodules

Overview

This study analyzes clinical, radiologic, and cytologic factors associated with malignancy in pediatric thyroid nodules over a 26-year period.

Background

Thyroid nodules in children are rare but have a significantly higher malignancy rate compared to adults. The study aims to provide insights into the characteristics of these nodules.

Data Highlights

No specific numerical data or trial results were provided in the source material.

Key Findings

  • Thyroid nodules in children have a malignancy rate of about 25%.
  • Common risk factors include iodine deficiency, ionizing radiation exposure, and genetic syndromes.
  • Ultrasound features such as solid composition and microcalcifications are associated with increased malignancy risk.
  • Adult-based risk stratification systems are not fully validated for pediatric patients.
  • Fine-needle aspiration biopsy is recommended for suspicious nodules to confirm diagnosis.

Clinical Implications

Healthcare providers should utilize a combination of clinical history, imaging, and cytology for diagnosis.

Conclusion

The study provides insights into the evaluation of pediatric thyroid nodules.

Related Resources & Content

  1. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Approach to the Pediatric Patient With Thyroid Nodules
  2. Surgical Insights on Familial Non-Medullary Thyroid Carcinoma in Children, 2021
  3. Frontiers in Endocrinology, 2026 -- The correlation between fine needle aspiration diagnosis and postoperative histopathological results of pediatric thyroid nodules based on the Bethesda system
  4. Frontiers in Oncology, 2026 -- A Multicenter, Clinically Interpretable Prediction Model for Malignancy Risk in C-TIRADS 3–4 Thyroid Nodules
  5. 2022 European Thyroid Association Guidelines -- Pediatric Thyroid Nodules
  6. Predictors of thyroid cancer in paediatric patients with thyroid nodules: A systematic review and meta-analysis - PubMed
  7. https://pure.eur.nl/ws/files/92392437/ETJ_22_0146.pdf
  8. Predictors of thyroid cancer in paediatric patients with thyroid nodules: A systematic review and meta-analysis - PubMed

Original Source(s)

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