Would you do active surveillance or completion thyroidectomy in a patient with 1.6 cm tall cell PTC with posterior margin’s indeterminate and 7 mm isoechoic solid nodule on other side?

May qualify for monitoring with full disclosure to the patient (aggressive histology) and if the following histologic and clinical features are met.

Reassessing the path is recommended if the report is unclear.

1. No extrathyroidal spread or invasion
2. No angio-invasion
3. Clear surgical margins
4. Pre surgi...