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Medullary thyroid carcinoma: Management and complexities of postoperative follow-up
摘要
Introduction: Medullary thyroid cancer is one of the less common types of thyroid malignancies as compared to the more frequent papillary and follicular types and constitutes 4% of thyroid cancer. Serum tumors markers are a significant part of diagnosis and postoperative follow-up. Although calcitonin is an apparent marker, levels of carcinoembryonic antigen (CEA) can also be used. In patients that are surgically managed, calcitonin levels can begin to rapidly decline within the first postoperative hour. Case Report: This paper presents a case of 37-year-old Indian female treated for medullary thyroid carcinoma and followed-up over a year. Fine-needle aspiration cytology (FNAC) biopsy was reported as highly suspicious of malignancy. The patient underwent a near total thyroidectomy and the following histopathology report confirmed medullary carcinoma. Conclusion: This paper highlights the importance of biochemical follow- up of calcitonin level, following surgical resection in cases of medullary thyroid carcinoma as a part of postoperative care.
延伸閱讀
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