Medullary thyroid carcinoma: recent advances in identification, treatment, and prognosis

Medullary thyroid carcinoma (MTC) is a neuroendocrine tumor that represents <5% of all thyroid malignancies and is generally more aggressive than differentiated thyroid cancer. The aim of this study is to provide an update, through review of clinical studies of patients with MTC published between...

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Main Authors: Marisa A. Bartz-Kurycki, Omowunmi E. Oluwo, Lilah F. Morris-Wiseman
Format: Article
Language:English
Published: SAGE Publishing 2021-10-01
Series:Therapeutic Advances in Endocrinology and Metabolism
Online Access:https://doi.org/10.1177/20420188211049611
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author Marisa A. Bartz-Kurycki
Omowunmi E. Oluwo
Lilah F. Morris-Wiseman
author_facet Marisa A. Bartz-Kurycki
Omowunmi E. Oluwo
Lilah F. Morris-Wiseman
author_sort Marisa A. Bartz-Kurycki
collection DOAJ
description Medullary thyroid carcinoma (MTC) is a neuroendocrine tumor that represents <5% of all thyroid malignancies and is generally more aggressive than differentiated thyroid cancer. The aim of this study is to provide an update, through review of clinical studies of patients with MTC published between January 1, 2016, and June 1, 2021, on recent advances in the diagnosis and treatment of MTC. This review focuses on updates in biochemical testing, imaging, hereditary disease, surgical management, adjuvant therapies, and prognosis. Recent advances reviewed herein have sought to diagnose MTC at earlier stages of disease, predict when patients with a hereditary syndrome may develop MTC, use functional imaging to assess for distant metastases, perform optimal initial surgery with appropriate lymphadenectomy, employ targeted systemic therapies for patients with progressive metastatic disease, and better predict patient-specific outcomes.
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spelling doaj.art-9215b203170e4628a7e38d67f45ea47b2022-12-21T23:09:30ZengSAGE PublishingTherapeutic Advances in Endocrinology and Metabolism2042-01962021-10-011210.1177/20420188211049611Medullary thyroid carcinoma: recent advances in identification, treatment, and prognosisMarisa A. Bartz-KuryckiOmowunmi E. OluwoLilah F. Morris-WisemanMedullary thyroid carcinoma (MTC) is a neuroendocrine tumor that represents <5% of all thyroid malignancies and is generally more aggressive than differentiated thyroid cancer. The aim of this study is to provide an update, through review of clinical studies of patients with MTC published between January 1, 2016, and June 1, 2021, on recent advances in the diagnosis and treatment of MTC. This review focuses on updates in biochemical testing, imaging, hereditary disease, surgical management, adjuvant therapies, and prognosis. Recent advances reviewed herein have sought to diagnose MTC at earlier stages of disease, predict when patients with a hereditary syndrome may develop MTC, use functional imaging to assess for distant metastases, perform optimal initial surgery with appropriate lymphadenectomy, employ targeted systemic therapies for patients with progressive metastatic disease, and better predict patient-specific outcomes.https://doi.org/10.1177/20420188211049611
spellingShingle Marisa A. Bartz-Kurycki
Omowunmi E. Oluwo
Lilah F. Morris-Wiseman
Medullary thyroid carcinoma: recent advances in identification, treatment, and prognosis
Therapeutic Advances in Endocrinology and Metabolism
title Medullary thyroid carcinoma: recent advances in identification, treatment, and prognosis
title_full Medullary thyroid carcinoma: recent advances in identification, treatment, and prognosis
title_fullStr Medullary thyroid carcinoma: recent advances in identification, treatment, and prognosis
title_full_unstemmed Medullary thyroid carcinoma: recent advances in identification, treatment, and prognosis
title_short Medullary thyroid carcinoma: recent advances in identification, treatment, and prognosis
title_sort medullary thyroid carcinoma recent advances in identification treatment and prognosis
url https://doi.org/10.1177/20420188211049611
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AT omowunmieoluwo medullarythyroidcarcinomarecentadvancesinidentificationtreatmentandprognosis
AT lilahfmorriswiseman medullarythyroidcarcinomarecentadvancesinidentificationtreatmentandprognosis