Thyroid & Adrenal
Male pt, 50yrs, on FNAC has left thyroid module S/o papillary carcinoma t/E
|B||Subtotal thyroidectomy with M.R. neck dissection|
|C||Total thyroidectomy M.R neck dissection|
|D||Hemi thyroidectomy with M.R. neck dissection|
Surgical Treatment for differentiated thyroid carcinoma–
a. Total thyroidectomy reserved for specific indications as bilateral disease or in high risk category.
b. Local recurrence is infrequent after unilateral total lobectomy particularly in low risk cases.
c. Large majority of patients with differentiated thyroid ca can be treated by lobectomy and isthumesectomy on the affected side particularly as 90% fall into the low risk group. At the same time, clinically obvious nodes should be removed.
d. If there is extensive involvement of jugular chain then modified neck dissection with preservation of accessory nerve and sternomastoid muscle is carried out.