CHILD WITH ADENOMATOUS GOITER

Cut Elfira, Rusdi Andid

Department of Child Health, Faculty of Medicine, Syiah Kuala University
Dr. Zainoel Abidin Hospital, Banda Aceh

Background
Adenomatous Goiter or Multinoduler Goiter has an ancompanying tumor formation due to the
overgrowth of the cell of the tyroid tissue. Tyroid nodules in children are rare case.

Case
A nine years old boy came to zainoel Abidin hospital with chief complain large nodule on the
neck since 4 month ago. Current conditions of nodules are enlarged after stopping therapy in
the past 6 months. Lump does not cause pain. History of hypothyroidism with levothyroxine
therapy since the age of 6 years. On inspection it appeared enlargement of the thyroid gland
measuring 10 x 5 cm, and moved when swallowing. Palpation has multiple nodules with soft
consistency and localization. Laboratory results obtained Ft4: 5.66 and TSHs: 9,452.
Ultrasound describes: Struma diffusa starts nodularly and begins to multicystic sinistra
degeneration. FNAB proved this was an Adenomatous Goiter. Patients diagnosed with
Adenomatous Goiter with Hypothyroidism and treated with levothyroxine. The oncology
surgical department planned total thyroidectomy.

Discussion
Adenomatous Goiter is a goiter with a multinodular lobe surface that can be touched with a
cystic surface. Mild goitrogenic stimulation that lasts a long time is thought to be the cause.
In children the risk of 3-5 times higher becomes malignant. Thyroid ultrasound is the initial
method for assessing the morphology of thyroid tissue. Thyroid cytopathology is the most
commonly used classification to determine the type of thyroid nodule. Management of total
thyroidectomy surgery taking into account the incidence of malignancy in the pediatric
thyroid nodule group reached 26%.
Key words : Adenomatous goiter , multinoduler,,FNAB,USG Thyroid