Medullary thyroid carcinoma. Natural history and surgical treatment.
In the present review the Author examines the natural history, clinical aspects, diagnostic aspects and surgical treatment representing the therapy for medullary thyroid carcinoma (MTC), with particular stress on the recommendation that a meticulous total thyroidectomy is always indicated, without leaving any residual thyroid gland tissue. Lymphadenectomy of the central part of neck is also recommended, with the abstraction of the jugular chain lymph nodes. In the case of positivity of one of those lymph nodes, it is necessary to perform a functional cervico-mediastinic lymphadenectomy.
Giammanco
M
M
Department of Surgery, Anatomical and Oncological Sciences, University of Palermo, Palermo. marcogiammanco@katamail.com
D000818:Animals; D018276:Carcinoma, Medullary / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*