Key words: thyroid carcinoma; papillary; follicular; incidence; prognosis; excess mortalityAlthough thyroid cancers are rare in children and adolescents, they are still one of the most frequent cancers in these age groups. They constitute 1% of all malignancies worldwide 1 and are heterogeneous in terms of histology, clinical presentation, treatment response, and prognosis. Papillary (PTC) and follicular (FTC) thyroid carcinomas are the two entities referred to as differentiated non-medullary thyroid carcinomas of the follicular epithelium. Differentiated non-medullary thyroid cancer is more common among women, particularly during the fertile part of women's life.PTC is the most common of the 2 entities, comprising between 60 -90% of differentiated thyroid cancer. 2 The incidence of PTC for women rises to a peak at 55-65 years, whereas this pattern is less pronounced in men. 3 The incidence of FTC increases slowly with age and reaches its highest level around 60 years of age for both men and women.The only established risk factor for thyroid cancer in humans, besides age and gender, is ionizing radiation. 4 Studies of individuals living in the Chernobyl areas and of the survivors of the atomic bombs in Hiroshima and Nagasaki have shown an increased risk of particularly PTC, although only among those exposed as children. 4 Sex hormones, iodine deficiency and other factors have been proposed as risk factors for thyroid cancer but findings are inconsistent. 5