Do medullary thyroid carcinoma patients with high calcitonin require bilateral neck lymph node clearance? A case report
| Autor: | Shun Wu, Tie Zhou, Meng-Xi Xu, Su-Hong Sun, Feng-Jiao Gan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Calcitonin
medicine.medical_specialty Medullary cavity endocrine system diseases business.industry General Medicine Fine needle aspiration cytology Thyroid carcinoma 03 medical and health sciences 0302 clinical medicine Text mining medicine.anatomical_structure 030220 oncology & carcinogenesis Papillary thyroid carcinoma Case report medicine Medullary thyroid carcinoma 030211 gastroenterology & hepatology Surgery Radiology Simultaneous different types of thyroid cancer business Lymph node |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| Popis: | 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 absence 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. |
| Databáze: | OpenAIRE |
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