]> 2026-07-31T07:51:35+00:00 WBR1150 0 en CT neck and chest '''Incorrect''' - After diagnosing papillary carcinoma of thyroid with a histopathological analysis, ultrasound of the neck is the primary modality that is used for staging the disease. CT scan of the neck and the chest might be valuable only if the disease is recurrent or metastatic. High dose thyroxine '''Correct''' - Levothyroxine therapy will be the next best step following thyroidectomy and radioiodine ablation in the treatment of papillary carcinoma of thyroid in order to prevent hypothyroidism and to minimize the potential tumor regrowth due to TSH stimulation. Ultrasound of the thyroid bed '''Incorrect''' - After diagnosing papillary carcinoma of thyroid with a histopathological analysis, ultrasound of the neck is the primary modality that is used for staging the disease. It is not of much use following surgery and in the post operative follow up period. Follow up with regular calcitonin measurements Follow up with regular thyroglobulin measurements '''Incorrect''' - Thyroglobulin measurements are useful only after several weeks following total thyroidectomy to detect any recurrence and not immediately after the surgery. Community Medical Health Center Primary Care Office Vendhan Ramanujam A 60 year old Caucasian woman presents to the clinic with a complaint of swelling in front of her neck which she noticed recently. She denies any history suggestive of either hyper or hypothyroidism. She denies any history of fever, neck pain, difficulty in breathing or swallowing and any recent change in her voice. She is currently not on any medications and neither has a history of exposure to radiation nor any family history of thyroid illness. On examination, her vital signs are blood pressure of 120/80 mmHg, pulse rate of 90 beats/min, respiratory rate of 12 breaths/min and temperature of 37° C. A 3 x 2 cm nodule is palpated in her right thyroid lobe. Lab tests revealed normal TSH levels. Fine needle aspiration cytology of the nodule and subsequent histopathological analysis revealed papillary carcinoma of the thyroid. She then underwent a near total thyroidectomy along with radioactive ablation and radioiodine scan. What is the next best step in management of this patient? B Endocrine Oncology 2020-10-28T02:45:50Z 2459150.615162 WBR1150