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14464 Surgery

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. Which of the following represents the treatment of choice?

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
DTotal thyroidectomy and irradiation of the cervical lymph nodes
Surgery
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14468 Surgery

A 10 year old child develops a testicular mass and undergoes orchiectomy. On cut section, the mass shows a variety of appearances and colors. Histologically, many different tissues are seen, including cailage, thyroid, and neural tissue. A small focus of clear-cut squamous cell carcinoma is seen. Which of the following is the most appropriate classification for this tumor?

ADermoid cyst
BEmbryonal carcinoma
CImmature teratoma
DTeratoma with malignant transformation
Surgery
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