Thyroid & Adrenal
Which of the following would be the best treatment for a 2cm thyroid nodule on the left lobe in a 50 yrs old man with FNAC revealing it to be a papillary carcinoma
|A||Near total thyroidectomy with modifed neck dissectin|
|B||Total thyroidectomy with modified neck dissection|
|C||Near total thyroidectomy and radiotherapy|
|D||Hemithyroidectomy and radiotherapy|
a. That patients with high-risk tumors or bilateral tumors should undergo total or near-total thyroidectomy.
b. When patients are found to have a minimal papillary thyroid carcinoma in a thyroid specimen removed for other reasons, unilateral thyroid lobectomy and isthmusectomy is usually considered to be adequate treatment, unless the tumor has evidence of angioinvasion, multifocality, or positive margins.
c. The optimal surgical strategy in the majority of patients with low-risk (small, unilateral) cancers remains controversial.
d. The focus of the debate centers around outcome data and risks associated with either lobectomy or total thyroidectomy in this group of patients
But for most of the time tumor is found multifocal hence total thyroidectomy with modified neck dissection is required.