Errors in the treatment of highly differentiated thyroid cancer as a multidisciplinary problem

Highly differentiated thyroid cancer is a common endocrine neoplasm with favorable prognosis. However, errors in the treatment of this pathology can significantly worsen patient’s quality life. Patient V., 65 years old, underwent an operation for papillary injury to recurrent laryngeal nerve 2015. Only 6 months later, RAI therapy was performed insufficient dose RI, and levothyroxine prescribed at thyrotoxic dose, which led development AF. Throughout entire period after surgical treatment, biochemical remission could not be achieved, 2019, control ultrasound scan revealed lymphadenopathy anterior cervical lymph nodes metastases lungs.