Objective：To investigate the clinicopathologic characteristics and therapy of thyroid carcinoma in children.
Methods：A retrospective review of the clinical data of 26 childhood patients with thyroid carcinoma treated in the Second Affiliated Hospital, Nanchang University from Jan 1990 to Dec 2005 was conducted.

Results：There were 15 girls and 11 boys in this series. All cases were diagnosed by histological evaluation: papillary carcinoma was diagnosed in 14, follicular carcinoma in 9, papillary follicular carcinoma in 2 and medullary carcinoma in 1. Cervical lymph node metastasis was found in 21 patients (80.8%). Among them, 1 underwent tumor enucleation, 5 underwent unilateral lobectomy and unilateral central compartment lymph node clearance, 15 underwent unilateral lobectomy and unilateral neck dissection, and 5 underwent neartotal or total thyroidectomy and bilateral neck dissection. All patients were followed up with tumor-free survival in 24 cases. The 5- and 7-year survival rate was 96.2% and 91.6%, respectively.Three patients required intravenous calcium supplementation postoperatively, but there was not a single case of permanent hypoparathyriodism or recurrent nerve paralysis during follow-up.
Conclusions：Almost thyroid carcinoma in children are differentiated carcinomas,  the prognosis is significantly better after surgical treatment.