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Endocrine and Neuroendocrine Surgery pp 91–109Cite as

Central Neck Dissection for Medullary Thyroid Carcinoma

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Part of the Springer Surgery Atlas Series book series (SPRISURGERY)

Abstract

Medullary thyroid carcinoma (MTC) is a malignancy that is characterized by a high proportion of hereditary cases and secretion of the tumor marker calcitonin [1]. MTCs are moderately invasive and have a high propensity for spread to cervical lymph nodes [2]. Central lymph nodes (level VI) are involved up to 81% of the time [3, 4]. Because MTC cells do not concentrate radioactive iodine, central neck dissection is a critical component of surgical management. Total thyroidectomy and central neck dissection (TT+CND) is recommended in the initial management of the patient with MTC [4]. Lateral neck dissection in these patients is described elsewhere in this volume (Chap. 9).

Keywords

  • Central neck dissection
  • Medullary thyroid carcinoma
  • MEN2

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Authors and Affiliations

  1. Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA

    J. F. Moley

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  1. J. F. Moley
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Correspondence to J. F. Moley .

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Editors and Affiliations

  1. Division of Surgical Oncology and Endocrine Surgery, University of Iowa Carver, College of Medicine, Iowa City, Iowa, USA

    James R. Howe

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Moley, J.F. (2017). Central Neck Dissection for Medullary Thyroid Carcinoma. In: Howe, J. (eds) Endocrine and Neuroendocrine Surgery. Springer Surgery Atlas Series. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54067-1_7

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  • DOI: https://doi.org/10.1007/978-3-662-54067-1_7

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