Total Thyroidectiom

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Living Well with Hypothyroidism: What Your Doctor Doesn't Tell You... That You Need to Know (Revised Edition)Answer: ABC


DISCUSSION:
Following total thyroidectomy iodine 131 can be used more efficiently because of the absence of normal thyroid tissue, which has greater affinity for iodine than papillary carcinoma tissue. When all normal thyroid tissue is removed, serum thyroglobulin, which is produced by normal and malignant thyroid tissue, becomes a more effective marker for recurrence. The overall recurrence rate is lower for patients undergoing total thyroidectomy, but the risk of hypoparathyroidism is higher for patients who have total thyroidectomy instead of unilateral lobectomy.

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