Negative Margins in Surgery — 42yo Woman | General Surgery | SMLE Q#1270
SMLE Question #1270
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 42-year-old woman underwent right thyroid lobectomy for a 3 cm solitary thyroid nodule. Preoperative fine-needle aspiration was reported as follicular neoplasm. Neck ultrasound showed no suspicious cervical lymph nodes and no contralateral thyroid nodules. Final histopathology identified an incidental, well-circumscribed 8 mm papillary thyroid carcinoma confined to the thyroid with negative margins and no extrathyroidal extension or vascular invasion. What is the most appropriate next step in management?
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