<prompt> Which of the following treatment modality of Papillary carcinoma is obsolete nowadays?Near total thyroidectomyModified radical neck dissectionSuppressive life long dose of L-thyroxineBerry picking of involved lymph nodes  <response>: Treatment:Near total or total thyroidectomy with modified neck dissection functional for nodes.Suppressive dose of L-thyroxine 0.3 mg once daily for life long.Berry picking means removal of involved nodes only. It is not followed nowadays.Key concept:Mostly central neck nodes are cleared. If nodes are enlarged in the anterior triangle, they are dissected and removed en bloc along with fat and fascia. This is called functional block dissection Berry picking means removal of enlarged lymph nodes only. It is no longer followed. 