作者: I. Ross McDougall
DOI: 10.1007/978-1-59259-995-0_74
关键词: Cancer 、 Calcitonin 、 Oncology 、 Lymphadenectomy 、 Medullary cavity 、 Thyroid 、 Medicine 、 Stage (cooking) 、 Multiple endocrine neoplasia 、 Medullary thyroid cancer 、 Internal medicine
摘要: The optimal treatment for medullary thyroid cancer is total thyroidectomy and central nodal lymphadenectomy at presentation when the primary small has not metastasized significantly (1). In three phenotypes of familial cancer, i.e., multiple endocrine neoplasia (MEN) IIA, MENIIB, screening families patients with a mutation in RET proto-oncogene genetic predisposition diseases allows surgery an even earlier stage (2, 3, 4). Unfortunately, all are treated time. Some sporadic have extensive local distant metastases time diagnosis. It important to define extent disease planning treatment. Other who undergone appropriate found measurable calcitonin level after operation. This implies there residual bed or lymph nodes sites. helpful if site sites production can be identified they amenable removal reoperation.