NCCN Guidelines for Patients
Thyroid Cancer, Version 1.2017
Medullary thyroid cancer
If you have an inherited form of medullary thyroid
cancer, your doctor will consider surgery with
possible neck dissection, radiation therapy, and
levothyroxine for primary treatment.
Before treatment, your doctor will measure
calcitonin, CEA, and calcium with or without a PTH
test. He or she will check for pheochromocytoma
(tumor in the adrenal gland that is usually benign).
You may also have an ultrasound of the neck.
If you have hyperparathyroidism, your doctor
will explore the parathyroid glands for disease.
Hyperparathyroidism means one or more of these
glands are making too much parathyroid hormone.
Thus, your doctor will consider removing one or more
of the parathyroid glands.
He or she can leave a certain amount of tissue in
place and remove the glands that are not good or
autotransplant tissue from a parathyroid gland into
an area like your forearm. It would take some time
to adjust but the parathyroid tissue would eventually
begin to make hormones again. Tissue can also
be frozen to preserve tissue (cryopreservation)
and stored outside the body. The goal is to put
it back into your body at a later time. If you have
pheochromocytoma, that would be treated first,
before the thyroid cancer.