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What is A 50 year old healthy man with a 2 cm Papillary thyroid carcinoma in the right lobe diagnosed on FNAC. What is the recommended treatment ? and explain in detail?
Total thyroidectomy or lobectomy on the affected side with subtotal lobectomy on the nonaffected site is the recommended treatment of choice for unifocal PTC greater than 1 cm in diameter. Definitive operation can be performed without frozen section when the diagnosis is unequivocal on FNAC. Papiloma Carcinoma Surgery Node -ve, <1cm - lobectomy >1 cm - Total thyroidectomy Any evidence of spread - Total thyroidectomy Familial disease - Total thyroidectomy Neck irrad'n in childhood - Total thyroidectomy