Thyroid carcinoma Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 35-year-old woman presents to the clinic with voice hoarseness and dysphagia. She palpated a lump in the anterior neck that was not present before her symptoms began. She has not had odynophagia or weight loss. She has no significant past medical history. Temperature is 37°C (98.7°F), pulse is 70/min, and blood pressure is 118/73 mmHg. Physical examination reveals a palpable, solitary anterior neck mass. No lymphadenopathy is detected. Ultrasound of the neck reveals a solid lesion measuring 2.35 cm in diameter with microcalcifications, irregular margins, and extrathyroidal extension with local invasion and compression of the recurrent laryngeal nerve. Ultrasound-guided fine needle aspiration reveals malignant cells. Histology shows papillae lined with differentiated epithelial cells, which appear pale Orphan-Annie nuclei. Calcific concretions with a circular, laminated appearance are seen in the stroma. CT scan shows no lymph node involvement and no metastasis. Which of the following is the next best step in management?  

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