Follicular thyroid carcinoma tends to grow slowly and generally responds well to treatment. The overall prognosis for pediatric patients with follicular thyroid carcinoma is very good. An individual’s prognosis depends on a number of factors, including whether the cancer appears to have spread into blood vessels or outside of the thyroid gland.
While the disease itself is very treatable, persistent and recurrent disease is more common in the pediatric population and may present even decades after initial treatment and a long period during which there was no evidence of disease. For this reason, multiple procedures and multiple radioactive iodine treatments may be required and long-term follow-up is critical.
While recurrent disease is actually more common in children than in adults, the outcomes in pediatric patients with recurrence are actually better. With appropriate treatment most patients with follicular thyroid carcinoma can expect to lead a long and fulfilling life.