(1) Because of the aggressive nature of MNH and its propensity to spread through regional lymphatics,1-6 many authors advocate
prophylactic lymph node dissection, especially for large, recurrent or anaplastic tumors.
This approach has reached consensus among surgeons in relation to the lateral neck, while for the central compartment some still advocate a
prophylactic lymph node dissection. One argument for this approach is that the central compartment is readily accessible while performing the thyroidectomy and that clearing this compartment during the first surgical procedure is easier and safer than in the revision setting (8).