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Surgery General 7129da03

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?

A
Total thyroidectomy
B
Total thyroidectomy + central lymph node dissection
C
Hemi thyroidectomy
D
Hemi thyroidectomy + central lymph node dissection
High-Yield Explanation
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.

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