A 50-year-old male has undergone an ipsilateral thyroid lobectomy and isthmus resection for what appeared on frozen section to be a benign nodular lesion 2.0 cm in diameter. Seventy-two hours later the final pathology returns and the diagnosis is a high-grade angioinvasive follicular carcinoma. What do you recommend?
A. 99mTc bone scan to rule out occult bone metastases
B. Ipsilateral radical neck dissection
C. Total thyroidectomy
D. Observation with sequential 131I scans every 3 months
Answer:C
A 50-year-old male has undergone an ipsilateral thyroid lobectomy and isthmus resection for what appeared on frozen section to be a benign nodular lesion 2.0 cm in diameter. Seventy-two hours later the final pathology returns and the diagnosis is a high-grade angioinvasive follicular carcinoma. What do you recommend?
A. 99mTc bone scan to rule out occult bone metastases B. Ipsilateral radical neck dissection C. Total thyroidectomy D. Observation with sequential 131I scans every 3 months