关键词: 儿童, 青少年, 分化型甲状腺癌, 外科治疗

Abstract: Surgical strategy for differentiated thyroid carcinoma in children and adolescents        WANG Zhi-hong, ZHANG Hao. Department of Thyroid Surgery, the First Hospital of China Medical University, Shenyang 110001, China
Corresponding author：ZHANG Hao，E-mail:haozhang@cmu. edu.cn
Abstract    Differentiated thyroid carcinoma（DTC）in children and adolescents is rare. Compared with adults，children and adolescents DTC often presents higher rate of lymph node metastasis，extrathyroid extension，distant metastasis and recurrence，yet lower overall mortality. There are still controversy on the individualized treatment of these patients in the existing guidelines and consensus recommendations on DTC in children and adolescents. In clinical practice，the characteristics of this part of patients should be comprehensively considered，more accurate preoperative evaluation should be combined with individualized surgical treatment，and surgical treatment strategies should be taken into consideration to radically cure tumors and protect their functions，in order to reduce complications and improve quality of life.

Key words: children, adolescents, differentiated thyroid cancer, surgery treatment