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Case Report
 
Medullary thyroid carcinoma: Management and complexities of postoperative follow-up
Mirza Faraz Saeed1, Nida Fatima Sakrani2, Isam Mazin Juma3, Abbas Ali4
1MBBS, FMAS, FICS, MS General Surgery (Edin), Registrar General, Surgery, King Hamad University Hospital.
2MBBCh, BAO, King Hamad University Hospital.
3MBCHB, CABS, MRCS, Senior Registrar General Surgery, King Hamad University Hospital.
4BSc, MbBchBAO, Intern King Hamad University Hospital.

Article ID: Z01201703CR10767MS
doi:10.5348/ijcri-201728-CR-10767

Address correspondence to:
Dr. Mirza Faraz Saeed
King Hamad University Hospital, Building No: 2435
Road: 2835 Block: 228, Busaiteen, P.O.Box: 24343
Muharraq
Kingdom of Bahrain, 24343

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How to cite this article
Saeed MF, Sakrani NF, Juma IM, Ali A. Medullary thyroid carcinoma: Management and complexities of postoperative follow-up. Int J Case Rep Images 2017;8(3):171–174.


Abstract
Introduction: Medullary thyroid cancer is one of the less common types of thyroid malignancies as compared to the more frequent papillary and follicular types and constitutes 4% of thyroid cancer. Serum tumors markers are a significant part of diagnosis and postoperative follow-up. Although calcitonin is an apparent marker, levels of carcinoembryonic antigen (CEA) can also be used. In patients that are surgically managed, calcitonin levels can begin to rapidly decline within the first postoperative hour.
Case Report: This paper presents a case of 37-year-old Indian female treated for medullary thyroid carcinoma and followed-up over a year. Fine-needle aspiration cytology (FNAC) biopsy was reported as highly suspicious of malignancy. The patient underwent a near total thyroidectomy and the following histopathology report confirmed medullary carcinoma.
Conclusion: This paper highlights the importance of biochemical follow- up of calcitonin level, following surgical resection in cases of medullary thyroid carcinoma as a part of postoperative care.

Keywords: Calcitonin, Fine-needle aspiration cytology (FNAC), Medullary thyroid carcinoma, Postoperative care


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Author Contributions
Mirza Faraz Saeed – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nida Fatima Sakrani – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Isam Mazin Juma – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Abbas Ali – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Mirza Faraz Saeed et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.