Lymph nodal metastases in differentiated thyroid cancers (DTC) occur in 30–90% of all cases.1 A major question remains about the therapeutic benefits of a more or less extensive lateral lymphadenectomy as metastases to levels I and V are infrequent, and extensive dissections may add to the morbidity. We herein report a case of papillary carcinoma thyroid with bilateral level I–V lymph node metastases.
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