Skip to content
← Childhood Thyroid Cancer

HEALTH PROFESSIONAL · SOURCE READING

ATA pediatric low risk

Source: Childhood Thyroid Cancer Treatment (PDQ®)–Health Professional Version, National Cancer Institute.

Source updated: April 3, 2025 · Captured 2026-09-09.

Selected source text with whitespace normalised. This Triangle page is not an NCI PDQ summary.

Context: Differentiated Thyroid Cancer (Papillary/Follicular) / Treatment of Papillary and Follicular Thyroid Carcinoma / Postoperative staging and long-term surveillance

Initial postoperative staging includes a TSH-suppressed thyroglobulin. A diagnostic iodine I 123 (123I) scan is not required.

TSH suppression should be targeted to serum levels of 0.5 to 1.0 mIU/L.

In patients with no evidence of disease, surveillance should include ultrasonography at 6 months postoperatively and then annually for 5 years, as well as TSH-suppressed thyroglobulin levels every 3 to 6 months for 2 years and then annually.

In children with positive thyroglobulin antibodies (common in patients with Hashimoto thyroiditis), trending thyroglobulin is less reliable, and a diagnostic 123I scan may be required.

Preserved source evidence · Not medical advice