Question 336 · LEK · Thyroid cancer
A 35-year-old woman presents at the endocrinology clinic due to a thyroid tumour. Ultrasound revealed a solid, hypoechoic tumour with uneven outline and microcalcifications in the right thyroid lobe. Fine-needle aspiration biopsy diagnoses papillary thyroid carcinoma. No distant metastases or cervical lymphadenopathy were found. Indicate the appropriate management:
- A. observation of the tumour and follow-up ultrasound scan every 3 months.
- B. radioiodine therapy only, without surgery.
- C. right thyroid lobectomy without further treatment.
- D. total thyroidectomy with possible removal of cervical lymph nodes, followed by consideration of radioiodine therapy.
- E. systemic chemotherapy as a radical treatment method.
Hint
Cytology confirms a differentiated thyroid cancer; think about the standard surgical extent and adjuvant treatment for this histology.
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