title: [Medullary thyroid carcinoma].
abstract: The authors report a case of medullary carcinoma of the thyroid diagnosed at the 2nd Surgery Clinic of IRCCS Policlinico "San Matteo" in Pavia in a series of 600 cases of thyroid pathology. Having emphasised the rarity of this pathology, the authors report the characteristic pathological aspects. They also outline the clinical signs leading to suspected diagnosis, illustrate the diagnostic techniques used to achieve an early diagnosis and underline the importance of the tumour markers CT and CEA. They identify radical surgery, total thyroidectomy with MND lymphadenectomy, as the therapy of choice, followed by accurate and careful monitoring with a view to ensuring an early diagnosis of renewed disease or recidivation.
authors.affiliation: Clinica Chirurgica II, IRCCS Policlinico San Matteo, Pavia.
authors.forename: A
authors.initials: A
authors.lastname: De Medici
authors.forename: M T
authors.initials: MT
authors.lastname: Zucchermaglio
authors.forename: P
authors.initials: P
authors.lastname: Mottola
authors.forename: C F
authors.initials: CF
authors.lastname: Cebrelli
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D014408:Biomarkers, Tumor / Q000097:blood; D001943:Breast Neoplasms; D002116:Calcitonin / Q000097:blood; D002272:Carcinoembryonic Antigen / Q000032:analysis; D018276:Carcinoma, Medullary / Q000097:blood / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D009377:Multiple Endocrine Neoplasia / Q000235:genetics; D009363:Neoplasm Proteins / Q000097:blood; D016609:Neoplasms, Second Primary; D013964:Thyroid Neoplasms / Q000097:blood / Q000000981:diagnostic imaging / Q000601:surgery*; D013965:Thyroidectomy; D014057:Tomography, X-Ray Computed
chemical_list: D014408:Biomarkers, Tumor; D002272:Carcinoembryonic Antigen; D009363:Neoplasm Proteins; D002116:Calcitonin
vernacular_title: Il carcinoma midollare della tiroide.