MEDULLARY THYROID CANCER – EXTENΤ OF THYROIDECTOMY

Total thyroidectomy is the procedure of choice in the management of medullary thyroid cancer (MTC). Less extensive types of thyroidectomy (such as lobectomy with isthmusectomy) should be avoided because up to 10 % of patients with sporadic MTC and all patients with inherited MTC have bilateral or multifocal disease. C-cell hyperplasia (CCH) is also present in all patients with inherited MTC (CCH is a premalignant lesion in these patients).

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