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 ?
Right lobectomy and isthmusectomy
Right lobectomy
Excisional biopsy with frozen section analysis
Total right lobectomy and subtotal left lobectomy
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
Thyroid