Arab Board Oncology Clinical

Practice session

A 45-year-old woman undergoes total thyroidectomy and central neck dissection for a 3.8 cm papillary thyroid carcinoma. Pathology confirms gross extrathyroidal extension invading the strap muscles and 4 positive central neck lymph nodes (pT3bN1aM0, ATA High Risk). What is the standard adjuvant management following surgery?

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