This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'Which of the following would be the best treatment for a 2 cm thyroid nodule in a 50 year old man with FNAC revealing it to be a papillary carcinoma? \nSelect and explain. \nA. Hemithyroidectomy, B. Total thyroidectomy with left sided modified neck dissection, C. Near total thyroidectomy with radiotherapy, D. Hemithyroidectomy with modified neck dissection', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Total or Near total thyroidectomy is the procedure of choice in papillary carcinoma of thyroid. Modified neck dissection is done if enlarged lymphnodes are found. Total thyroidectomy is recommended for papillary (> 1.0 cm), follicular, Huhle cell, and medullary carcinomas if the operation can be done without producing permanent hypoparathyroidism or injury to the recurrent laryngeal nerves.', 'role': 'assistant'}]