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
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? 
Select and explain. 
A. Total thyroidectomy, B. Total thyroidectomy + central lymph node dissection, C. Hemi thyroidectomy, D. Hemi thyroidectomy +  central lymph node dissection
C: Hemi thyroidectomy
Answer: C: Hemi thyroidectomy 
Explanation: 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.