It is very common for patients with thyroid cancer to have multiple nodules at the same time, which is often called a nodular goiter in combination with thyroid cancer. For this type of patients, the nodules are on one side of the thyroid gland, and the other side of the thyroid gland has multiple benign nodules or malignant nodules, and the combination of lymph node metastasis in one side of the neck is treated as follows: MD anderson cancer center head and neck surgery treatment: total thyroidectomy of the right and left thyroid gland + central zone clearance (also called zone VI) + lateral neck clearance (zones II, III, IV, Vb) lymph node clearance The procedure is performed in the following way The following image is taken from the case of a patient at MD anderson cancer center head and neck surgery.