Which procedure is indicated for patients diagnosed with multiple sites of thyroid carcinoma?

Total thyroidectomy is the recommended procedure for patients diagnosed with multiple sites of thyroid carcinoma because it involves the complete removal of the thyroid gland. Thyroid carcinoma, particularly when multiple sites are involved, presents a greater risk for aggressive behavior and metastasis. A total thyroidectomy ensures that all malignant tissue is excised, which minimizes the risk of recurrence and addresses the potential for the cancer to spread to lymph nodes or other areas.

In contrast, partial thyroidectomy or thyroid lobectomy would only remove a portion of the thyroid gland, which may leave behind residual cancerous tissue. This could increase the likelihood of recurrence and is not adequate for patients with multiple lesions. Watchful waiting is not appropriate in this context, as active thyroid carcinoma requires intervention to prevent progression of the disease. By choosing total thyroidectomy, healthcare providers aim to provide the most definitive treatment approach for patients with multiple sites of thyroid carcinoma, thereby improving survival outcomes.