The given case is a case of High risk patient with a high risk tumour but neck node status unclear (considering No)
Total thyroidectomy with level VI dissection and palpation of level II-IV and VII should be the treatment of choice.
Suspicious – Frozen section
Positive
Selective Neck dissection(II, IV & lower V)
After case + Post operative radiotherapy Radio iodine treatment
If the diagnosis of Papillary Thyroid Cancer is made after lobectomy, completion thyroidectomy is required and should be done within 8 weeks of histological diagnosis.
Protection