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8776 Medicine

A 26 year woman presents with a palpable thyroid nodule, and needle biopsy demonstrates amyloid in the stroma of the lesion. A cervical lymph node is palpable on the same side as the lesion. the preferred treatment should be :

ARemoval of the involved node, the isthmus, and the enlarged lymph node
BRemoval of the involved lobe, the isthmus, a poion of the opposite lobe, and he enlarged lymph node.
CTotal thyroidectomy and modified neck dissection on the side of the enlarged lymph node. (Correct Answer)
DTotal thyroidectomy and irradiation of the cervical lymph nodes.