Medullary Thyroid Carcinoma in Surgery — 39yo Woman | General Surgery | SMLE Q#1293
SMLE Question #1293
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 39-year-old woman is evaluated for a thyroid nodule. Fine-needle aspiration is consistent with medullary thyroid carcinoma in a 2.5-cm right thyroid lobe lesion. Neck ultrasound shows no suspicious cervical lymph nodes, and cross-sectional imaging shows no distant metastases. Germline RET proto-oncogene testing is positive, and she has not had prior thyroid surgery. What is the most appropriate definitive surgical management for her thyroid cancer?
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