Read the following medical record documentation and answer t…

Reаd the fоllоwing medicаl recоrd documentаtion and answer the question below. Endocrinology Note. Impression/Plan: The patient is a 23-year-old female with a history of thyroid mass that biopsy evidenced as papillary. The pattern of miliary metastatic lesions in the chest is consistent with this diagnosis. This is indicative of a more advanced stage of disease. After spending approximately 45 minutes with the patient and her family today discussing the surgical aspects of the treatment of this disease, we determined a total thyroidectomy would establish the best possible prognosis. This would enable the eradication of as much of the native thyroid tissue and remove the primary source of the cancer, then followed by radioactive iodine therapy. We discussed, at length, the possibility of sentinel node dissection, and spent significant time discussing the possibility of hypoparathyroidism should we find, during surgery, that all four of the parathyroid glands were damaged. Additionally, the recurrent laryngeal and external laryngeal branches of the nerve supplying the vocal cord function and how they might be damaged during the thyroidectomy was also covered. I answered as many of the family’s questions as possible during this stressful time, as they struggled to absorb all of this information. I added that the results of chest X-ray will have some impact on the postoperative therapy and overall prognosis. The radiologist noted in their report that there was a risk of pulmonary fibrosis with the use of radioactive iodine in this situation, but it seems likely that it is going to be necessary to attempt to treat this disease in this specific case. I did discuss with the patient and her parents the possibility of having to take doses of both calcium and vitamin D in the event of hypoparathyroidism, and we also talked about possibly sparing parathyroid tissue and reimplanting elsewhere in her body, if that becomes a necessity. All of the family’s questions have been answered. With their informed consent, the total thyroidectomy has been scheduled for the day after tomorrow. Q: This patient is diagnosed with an advanced stage of what disease?