Which of the following would be the best treatment for a 2 cm thyroid nodule in a 50 year old man with FNAC revealing it to be a papillary carcinoma?
Total or Near total thyroidectomy is the procedure of choice in papillary carcinoma of thyroid. Modified neck dissection is done if enlarged lymphnodes are found. Total thyroidectomy is recommended for papillary (> 1.0 cm), follicular, Huhle cell, and medullary carcinomas if the operation can be done without producing permanent hypoparathyroidism or injury to the recurrent laryngeal nerves.
Hemithyroidectomy
Total thyroidectomy with left sided modified neck dissection
Near total thyroidectomy with radiotherapy
Hemithyroidectomy with modified neck dissection