Aashi
Forum Moderator
Topics: 114
Posts: 1,062
|
A 33-year-old woman is found to have a palpable thyroid nodule during a routine medical checkup. A sonogram confirms the presence of a solid, 1.5-cm nodule in the right lobe of the thyroid gland. Fine needle aspirate cytology (FNA) is reported as "follicular tumor, otherwise unspecified." At surgery, a frozen section is read as follicular carcinoma. With the neck open, the surgeon can feel for enlarged jugular and peritracheal lymph nodes, and finds none. Which of the following is the most appropriate treatment?
a) Enucleation of the tumor
b)Right thyroid lobectomy
c)Total thyroidectomy
d) Total thyroidectomy plus postoperative radioactive iodine
e)Total thyroidectomy, radical neck dissection, and postoperative radioactive iodine
___________________
"Obstacles are those frightful things you see when you take your EYES off your goal."
|
| Data297
|
D? She's under 40 but the tumor is >1cm
I would have picked subtotal if that was given
Edited by Data297 on 12/03/06 - 05:24 PM
|
| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
C
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| Data297
|
AAAAA wrote:
C
Aren't you supposed to give postoperative radiation to make sure you got rid of any possible microscopic mats/ remaining Thyroid tissue?
|
| ndspider
Forum Senior
Topics: 5
Posts: 69
|
C Baby. Assuming the surgeon is highly experienced taking out the thyroid is your best bet
|
| Guptashutosh
Forum Elite
Topics: 35
Posts: 354
|
E
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
E
___________________
The Key to Succeed is Patience.
|
| jvo_md
Forum Senior
Topics: 22
Posts: 189
|
E is the answer
|
| Data297
|
So Aashi, whats the answer? And explanation please
|
| Aashi
Forum Moderator
Topics: 114
Posts: 1,062
|
Ans is D...Explanation is given under follicular CA in kaplan internal med notes..
GL
___________________
"Obstacles are those frightful things you see when you take your EYES off your goal."
|
|
| |
| | | | | | | | | | |
Similar forum topics