Treatment of choice in Medullary Ca thyroid
Surgery is the main therapeutic modality. Total thyroidectomy with bilateral central node dissection and ipsilateral lateral neck dissection if primary tumor is greater than 1cm or central nodes are positive. Reference: SRB's Manual of Surgery, 6th Edition, page no= 477. Reference: Bailey & love, 26th Edition, page no =769.
Total thyroidectomy
Total thyroidectomy + Radical neck dissection
Total thyroidectomy + Radiotherapy
Total thyroidectomy + Prophylactic CCND
Endocrinology and breast