Updated Dutch 2026 pediatric differentiated thyroid carcinoma guideline: aligning with Europe
Methodological detailsstructured consensus meeting, systematic comparison with European Thyroid Association (ETA) 2022 guideline
- Structured consensus meeting
- Systematic comparison with ETA 2022 guideline
Recommendations
As issued by the authors
Most European (ETA 2022) recommendations adopted
Total thyroidectomy without prior histology in Bethesda V-VI nodules with a proven BRAF mutation
Expanded use of molecular diagnostics in selected nodules
Referral for genetic counseling in confirmed cases
Less extensive surgery and selective omission of RAI therapy in low-risk patients, based on shared decision-making
Neck US follow-up limited to an initial 3-month assessment; subsequent imaging only with rising Tg or anti-Tg concentrations
Original publication
Updated Dutch 2026 pediatric differentiated thyroid carcinoma guideline: aligning with Europe. Eur J Endocrinol. Published 23 July 2026. doi:10. 1093/ ejendo/ lvag124
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