A 35 yr old Female came with sem nodule in the neck which on FNAC revealed "orphan Annie eyed nuclei". There is no involvement of lymph nodes. How do you manage this patient?: (A) Total thyroidectomy, (B) Total thyroidectomy + central lymph node dissection, (C) Hemi thyroidectomy, (D) Hemi thyroidectomy +  central lymph node dissection
Answer is C. Histopathological Feature of "orphan annie eyed nuclei" is characteristic of papillary carcinoma of thyroid.
Management of papillary carcinoma :

Hemithyroidectomy : In size < 2cm.

Age < 40 years.
No lymphovascular invasion FT.
No capsular invasion FT.

In all other conditions total thyroidectomy is done.


If level VI lymph nodes are involved : Central lymph node dissection along with Total thyroidectomy.
If other lymph nodes are involved : Modified radical neck dissection is done along with total thyroidectomy.