שאלה משלב א׳ בא.א.ג וכירורגיה של ראש וצוואר · מועד 2025, שאלה 79

Paediatric papillary thyroid carcinoma has an excellent long-term survival - OVER 90% (indeed over 95%) - despite presenting more aggressively than in adults: regional nodal metastases are COMMON (in the majority), MULTIFOCAL and bilateral disease is frequent, and distant metastases, when they occur, go to the LUNGS. Treatment is total thyroidectomy with therapeutic neck dissection and radioiodine for residual or metastatic disease, with long-term surveillance.