title: Treatment of advanced medullary thyroid cancer.
abstract: Therapy decisions in advanced medullary thyroid carcinoma should be guided by a critical appraisal of the natural disease course (slowly progressive vs. aggressive) and benefits and side effects of therapy. Therapy goals should be distinguished between curative and palliative. Local treatments are mainly palliative and may add to quality of life. The advent of novel systemic therapies opens promising perspectives but its place in the therapeutic arsenal must be further determined.
authors.affiliation: Department of General Internal Medicine, Radboud University Nijmegen Medical Centre P,O, Box 9101, 6500 HB Nijmegen, The Netherlands. J.Smit@aig.umcn.nl.
authors.forename: Johannes
authors.initials: J
authors.lastname: Smit