“…Accordingly, Sistrunk procedure is considered as the only procedure in the setting of a clinically and radiologically normal thyroid gland in low-risk patients with low-risk tumours, for patients who are age <45 years, with no history of radiation exposure, a tumour size <4.0 cm, no soft tissue invasion, no lymphadenopathy, and the absence of aggressive tumour histology. 24 Tharmabala and colleagues proposed a risk stratification groups into three classifications: for low-risk, observe and wait; for moderate risk, total thyroidectomy, hormonal suppressing treatment, and radioactive iodine; for the high-risk group, vertical lymph node dissection in addition to the other treatments. 21 Metastatic spread is uncommon, and the prognosis is usually good.…”