Painless in Surgery — 28yo Woman | General Surgery | SMLE Q#1273
SMLE Question #1273
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 28-year-old woman presents with a painless, slowly enlarging anterior neck mass 1 year after therapeutic neck radiation for Hodgkin lymphoma. Examination shows a firm, mobile 4 cm left thyroid nodule with no palpable cervical lymphadenopathy. Ultrasound shows a solitary hypoechoic nodule with microcalcifications. Fine-needle aspiration suggests papillary thyroid carcinoma. Cross-sectional imaging shows no distant metastasis and no gross extrathyroidal extension. What is the best definitive surgical management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.