Optimal value of lymph node ratio and metastatic lymph node size to predict risk of recurrence in pediatric thyroid cancer with lateral neck metastasis

This study examines lymph node ratio and metastatic node size as predictors of recurrence in pediatric thyroid cancer with lateral neck involvement. Given that 50-90% of pediatric cases present with nodal metastasis—significantly higher than adults—accurate nodal staging is critical for treatment planning and prognosis.