Treatment of Medullary Ca of thyroid with lymph node metastasis
.In medullary carcinoma thyroid , total thyroidectomy is treatment of choice. Radiotherapy can be considered in unresectable cases or after complete surgical resection in few cases. Note : Since medullary thyroid cancer doesnot arise from follicular cells, TSH suppression and RAI (radio active iodine) therapy have no role. Source : Sabiston 20th edition pg 910
Sub total thyroidectomy + Radioiodine + TSH supression
Subtotal thyroidectomy + Radiotherapy
Total thyroidectomy + Radioiodine
Total thyroidectomy + Radiotherapy
Endocrinology and breast