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Therefore, we made a diagnosis of a papillary thyroid carcinoma (pT0N1bM. After surgery, we determined that the tumor belonged to a high-risk group of papillary thyroid carcinomas and a poor-prognosis group of symptomatic papillary thyroid microcarcinomas; accordingly, ablation was performed with 30 mCi iodine-131. There was no recurrence or metastasis 24 months after the first surgery. Copyright © 2020 by S. Karger AG, Basel.The creatinine kinase (CK)-MB assay can be used for the early diagnosis of acute coronary s