The incidence of thyroid and the prevalence of follicular carcinoma is rare in childhood and adolescents; however, it is considered as the second most common pediatric thyroid malignancy. Vascular invasion, distant metastasis, and tumor size greater than 4 cm are among the factors leading to total thyroidectomy followed by radioactive iodine therapy. The tumor size of the case in this study was 4.8 cm; as a result, total thyroidectomy was performed. The incidence of injury to the recurrent laryngeal in children is 0-40% due to its small size compared to that of adults. Furthermore, one of the prevalent complications of this operation is hypocalcaemia which is observed in 0-30% of the patients. None of these complications were present in the case. According to the author's experience, any swollen body in the neck should be considered important even if the incidence of a cancer is rare.

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