Treatment of choice of a 2cm thyroid nodule in a 50 year old man with FNAC revealing it to be a papillary carcinoma:
Surgery, either near-total or total thyroidectomy, is the initial treatment of choice for patients with papillary carcinoma. Near-total thyroidectomy is performed for extensive unilateral tumors with local metastases. Total thyroidectomy is performed for patients with extensive multifocal disease with metastases to the cervical lymph nodes, contiguous neck structures, or distant sites. Ref: Current Medical Diagnosis and Treatment, 2012, Chapter 26; Hazzard's Geriatric Medicine and Gerontology, 6th Edition, Chapter 108
Hemithyroidectomy
Subtotal thyroidectomy with modified neck dissection
Near total thyroidectomy with modified neck dissection
Hemithyroidectomy with modified neck dissection