A nodule of 2 cm in left thyroid diagnosed as papillary Ca. Treatment of choice is:
Correct Answer: Total thyroidectomy
Description: Papillary adenocarcinoma accounts for 85% of cancers of the thyroid gland. The tumor usually appears in early adult life and presents as a solitary nodule. For papillary carcinoma over 1 cm, acceptable operations are near-total or total thyroidectomy. For solitary papillary carcinomas less than 1 cm, thyroid lobectomy is adequate treatment. Subtotal or paial lobectomy is contraindicated because the incidence of tumor recurrence is greater and survival is shoer. Ref: Clark O.H. (2010). Chapter 16. Thyroid & Parathyroid. In G.M. Dohey (Ed), CURRENT Diagnosis & Treatment: Surgery, 13e.
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Surgery
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