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14691 Surgery

The course of papillary carcinoma of the thyroid is best described by which of the following statements?

AMetastases are rare; local growth is rapid; erosion into the trachea and large blood vessels is frequent
BLocal invasion and metastases almost never occur, which makes the term carcinoma misleading
CBony metastases are frequent and produce an osteolytic pattern particularly in vertebrae
DMetastases frequently occur to cervical lymph nodes; distant metastases and local invasion are rare (Correct Answer)