How is medullary thyroid carcinomas (MTC) treated?

Updated: May 09, 2018
  • Author: Pramod K Sharma, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Sporadic medullary thyroid carcinomas and familial medullary thyroid carcinomas are treated with total thyroidectomy and lymphatic dissection of the anterior compartment of the neck. If the vasculature of the parathyroid gland is disrupted, autotransplantation of the parathyroid gland into the sternocleidomastoid muscle or the nondominant forearm is performed. In children with multiple endocrine neoplasia (MEN) type 2A and MEN 2B syndromes, prophylactic thyroidectomy and central-compartment lymph-node dissection is performed.


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