This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology and breast, Subject name: Anatomy
[{'content': 'True about Papillary thyroid carcinoma \nSelect and explain. \nA. More common in females, B. Lymph node metastasis is common, C. Multifocal in origin and invades the capsule, D. All of the above', 'role': 'user'}, {'content': "Answer: D \nExplanation: Distant metastases are uncommon at initial presentation, but may ultimately develop in up to 20% of patients. The most common sites are the lungs, followed by bone, liver, and brain. Ref - Srb's manual of surgery 5e p481", 'role': 'assistant'}]