What is 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? and explain in detail?
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.