2018
DOI: 10.1159/000493809
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Medullary Thyroid Carcinoma: Why Is Specialization Mandatory?

Abstract: Medullary thyroid carcinoma (MTC) represents a distinct form of thyroid cancer with a potentially aggressive behavior, early lymph node metastases, and sporadic as well as hereditary forms. Only surgery with total thyroidectomy and lymph node dissection is able to achieve biochemical cure. Due to the uncommon nature of MTC, a specialization in endocrine surgery for diagnosis as well as therapy of MTC seem to be mandatory for a successful treatment. Knowledge of genotype-phenotype correlations for hereditary fo… Show more

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Cited by 6 publications
(3 citation statements)
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“…Thyroid malignancies include differentiated thyroid cancer as papillary and follicular, poorly differentiated and anaplasic carcinoma (15)(16)(17). Also, medullar thyroid cancer is derived not from follicular cell, but from C-parafollicular cell with calcitonin secretion (18). Rarely thyroid metastasis is found in thyroid while primary thyroid lymphoma is frequently associated with an autoimmune chronic Hashimoto thyroiditis background (19).…”
Section: General Datamentioning
confidence: 99%
“…Thyroid malignancies include differentiated thyroid cancer as papillary and follicular, poorly differentiated and anaplasic carcinoma (15)(16)(17). Also, medullar thyroid cancer is derived not from follicular cell, but from C-parafollicular cell with calcitonin secretion (18). Rarely thyroid metastasis is found in thyroid while primary thyroid lymphoma is frequently associated with an autoimmune chronic Hashimoto thyroiditis background (19).…”
Section: General Datamentioning
confidence: 99%
“…Medullary thyroid carcinoma (MTC) is a rare type of thyroid cancer, repenting for 5–10% of all cases [6]. Unlike the 4 common types of thyroid cancer, MTC primarily originates from parafollicular cells and frequently exhibit intermediate malignant degree [7]. According to the pathogenesis, MTC can be further divided as hereditary form (accounts for 25% of MTC) and sporadic form (accounts for 75% of MTC) [8].…”
Section: Introductionmentioning
confidence: 99%
“…For this reason, the only cytoreductive treatment in these patients with locoregional disease is surgery [ 8 ]. In MTC, lymph nodes metastasis occurs as soon as the tumor develops, behavior that not seen in other differentiated thyroid cancers [ 9 , 10 ]. Due to the effect of lymph node involvement, on the prognosis of patients, based on American Joint Committee on Cancer (AJCC) system, the presence or absence of lymph nodes metastasis is significant in staging [ 11 ].There is a lot of controversy about surgical approach to cervical lymph nodes in MTC [ [12] , [13] , [14] ].…”
Section: Introductionmentioning
confidence: 99%