Figure 2.

Flowchart of surgical approach for DTC in children. BCLND, bilateral central lymph node dissection; CLND, central lymph node dissection; DTC, differentiated thyroid carcinoma; FNB, fine needle biopsy; ICLND, ipsilateral central lymph node dissection. ‘Active surveillance’ in low-risk DTC implies ultrasound of the leftover thyroid tissue, including the evaluation of the cervical lymph nodes every 6–12 months by neck palpation and ultrasound.