PMID: 8949970Oct 1, 1996Paper

Genetic testing and early thyroidectomy for inherited medullary thyroid carcinoma

Annals of Medicine
T C LairmoreS A Wells

Abstract

The recent identification of mutations in the RET proto-oncogene that are associated with multiple endocrine neoplasia type 2 (MEN 2) syndromes has allowed therapeutic intervention in affected individuals on the basis of direct genetic testing. The principal endocrine neoplasm that occurs in patients with the MEN 2 syndromes is medullary thyroid carcinoma. This thyroid neoplasm is the only consistently malignant feature of the MEN 2 syndromes and it is the most common cause of death in affected patients. Kindred members at risk for one of the MEN 2 syndromes can be studied by direct DNA analysis to determine whether they have inherited a RET mutation. Those with a positive test can be treated by early thyroidectomy and cured when the disease is microscopic and localized to the thyroid gland. Total thyroidectomy is performed as early as 5 years of age and is associated with minimal morbidity and virtually no mortality. Residual or persistent medullary thyroid carcinoma following thyroidectomy can best be determined by detecting increased levels of calcitonin following the administration of intravenous calcium gluconate and pentagastrin.

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Citations

Aug 10, 2002·Journal of the American College of Surgeons·González Jose M RodríguezPascual Parrilla
Aug 2, 2002·Journal of Endocrinological Investigation·E AlgünH Aksoy
Jun 10, 2000·European Journal of Clinical Investigation·J W Koper, S W Lamberts
Sep 29, 2001·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·E Giarelli
Oct 23, 2020·Pharmacology & Therapeutics·Martina ChiacchiariniElisabetta Ferretti

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