Thyroid Neck Recurrence

I got a guy that presented 2 years ago with metastatic thyroid cancer; they did a hemithyroidectomy at presentation to get more definitive diagnosis. Turned out to be hurthle cell ca. They did adjuvant RAI after this although the tumor wasn't hot for iodine uptake. There are 4 mets in the lungs that is it, they are about 1-2 cm and one is 2-3 cm. The primary grew back in the neck and is about 3-4 cm and up against the esophagus and not far from the right Bplexus. They could give systemics,... Thyroid Neck Recurrence
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