How would you manage a papillary thyroid carcinoma incidentally found on planning CT for T1 glottic cancer?

Treat the glottis with RT 63 Gy/28 fractions and then operate the thyroid.

Interesting case. There's a small surgical series from Hopkins (Farrag et al., PMID 17043249) reviewing their experience with sub-TL for laryngeal Ca and they reported a 12% incidence of concurrent thyroid lesions, 6% overall of which were papillary thyroid cancer and they concluded that all patient...