NCCN Guidelines for Patients
Thyroid Cancer, Version 1.2017
If you don’t have symptoms, your doctor may
observe or consider surgery. If surgery is not
possible, he or she may offer vandetanib or
cabozantinib for symptoms or disease that is
worsening. If the disease is worsening, refer to the
options listed in
. Your doctor may offer
supportive care to help relieve any symptoms you
are having. This treatment is not to cure disease but
to help control or treat symptoms that may interfere
with your daily life.
Medullary thyroid cancer starts in the
neuroendocrine parafollicular C cells of the
The inherited type of medullary thyroid cancers
are called MEN2 and familial medullary thyroid
Primary treatment for medullary thyroid cancer
is usually surgery.
Planning for primary treatment requires
checking calcitonin and CEA, performing
imaging, other blood tests, and possibly genetic
testing before surgery.
After primary treatment for medullary thyroid
cancer, the surveillance and maintenance
phase will start.
For recurrent or metastatic medullary thyroid
cancer, your doctor will consider the extent of
Your doctor may offer supportive care to help
relieve any symptoms you are having.