The patient proceeded to total thyroidectomy and right/central neck dissection.
Histopathology:
- Total thyroidectomy: Papillary thyroid carcinoma.
- 14mm maximum dimension.
- No extrathyroidal extension.
- No lymphovascular space invasion.
- Abuts posterior margin.
- 2/3 perithyroid lymph nodes contain metastatic carcinoma.
- Right neck dissection, Levels II-IV: 13/25 lymph nodes contain metastatic carcinoma.
- Right level VI neck dissection: 6/7 lymph nodes contain metastatic carcinoma.