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Thyroid Cancer Risk Grouping, Treatment - total thyroidectomy and RAI for…
Thyroid Cancer Risk Grouping
Low Risk
No local or distant Mets
All macroscopic tumours resected
No aggeressive histology
No vasculr invations
No 131 uptake outside the thyroid bed
No <5 pathologic LN
Intermediate Risk
Microscopic invasion
Cervical NL mets
Aggresive histology
Vascular invastion
5 Pathologica LN<3cm
Mukltifocal microPTC with BRAF
High Risk
MAcroscopic invastion
Distant ets
high post op TG
Pathologica LN
FTC with extensive vcascular invations
Treatment - total thyroidectomy and RAI for cetrain groups.
Treatment - Lobectomy or total thyroiectomy