Do medullary thyroid carcinoma patients with high calcitonin require bilateral neck lymph node clearance? A case report

paythelady.612 shared this article with you from Inoreader Do medullary thyroid carcinoma patients with high calcitonin require bilateral neck lymph node clearance? A case report Μέσω pubmed: "world j clin cases"... World J Clin Cases. 2021 Feb 26;9(6):1343-1352. doi: 10.12998/wjcc.v9.i6.1343. ABSTRACT BACKGROUND: In clinical work, 85%-90% of malignant thyroid diseases are papillary thyroid cancer (PTC); thus, clinicians neglect other types of thyroid cancer, such as medullary thyroid carcinoma (MTC). CASE SUMMARY: We report a 53-year-old female patient with a preoperative calcitonin level of 345 pg/mL. There was no definitive diagnosis of MTC by preoperative fine-needle aspiration cytology or intraoperative frozen pathology, but the presence of PTC and MTC was confirmed by postoperative paraffin pathology. The patient underwent total thyroidectomy and bilateral central lymph node dissection. Close follow-up at 1.5 years after surgery revealed no signs of recurrence or metastasis. CONCLUSION: The issue in clinical work-up regarding types of thyroid cancer provides a novel and challenging idea for the surgical treatment of MTC. In the a bsence of central lymph node metastasis, it is worth addressing whether patients with high calcitonin can undergo total thyroidectomy and bilateral central lymph node dissection without bilateral lateral neck lymph node dissection. PMID:33644201 | PMC:PMC7896685 | DOI:10.12998/wjcc.v9.i6.1343 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.