Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4310282 | Surgery | 2007 | 11 Pages |
Abstract
The biochemical discrimination cannot be made between patients with CCH and MTC, and patients with MTC with/without LN metastasis. Thus, thyroidectomy and central neck dissection is indicated in patients with “mildly” elevated sCT levels (<560pg/ml) (LN positive: 1 of 37 patients [2.7%]). A lateral neck dissection may be added “on demand” (in the setting of measurable postoperative bCT and/or sCT levels indicating LN metastasis). Patients with “highly” elevated sCT (â¥560pg/ml) must be treated as “palpable” MTC (LN positive: 10 of 54 patients [18.5%]).
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Authors
Christian MD, Klaus MD, Christian PhD, Reza MD, Phillip MD, Ralph MD, Bruno MD,