<prompt> A 35 yr old Female came with sem nodule in the neck which on FNAC revealed orphan Annie eyed nuclei. There is no involvement of lymph nodes. How do you manage this patient?Total thyroidectomyTotal thyroidectomy central lymph node dissectionHemi thyroidectomyHemi thyroidectomy central lymph node dissection  <response>: Histopathological Feature of orphan annie eyed nuclei is characteristic of papillary carcinoma of thyroid.Management of papillary carcinoma :Hemithyroidectomy : In size 2cm.Age 40 years.No lymphovascular invasion FT.No capsular invasion FT.In all other conditions total thyroidectomy is done.If level VI lymph nodes are involved : Central lymph node dissection along with Total thyroidectomy.If other lymph nodes are involved : Modified radical neck dissection is done along with total thyroidectomy. 