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OCR: Issue Conservative Surgery Radical (Total Thyroidectomy) Surgery Prognostic risk factors Systems tO define risk can identifi patients Occasional low-risk patient develops reaurrence who have 20-y survival of 566 and 20- disease- free Small lesions may grow aggressively survival 95% Multifocality in 25% of cases Safety of surgery Risk of permanent hypocalcemia aad recurrent laryn- Experi rienced surgeon can perform these procedures geal nrere injury greathy reduced with lobar or subto with very minimal or no iong-term compiications tal thyroidectomy Postoperative iodine necessary ablation of thyroid remnant can be Thyroid ablation with 1311 18 complicated by pain if: accomplished with no morbidity thyroid remnant exists Decreased efficacy with residual thyroid Anaplastic cancer Local able . ...