Giammanco M
Department of Surgery, Anatomical and Oncological Sciences, University of Palermo, Palermo.
Minerva Endocrinol. 2000 Sep-Dec;25(3-4):75-9.
In the present review the Author examines the natural history, clinical aspects, diagnostic aspects and surgical treatment representing the therapy for medullary thyroid carcinoma (MTC), with particular stress on the recommendation that a meticulous total thyroidectomy is always indicated, without leaving any residual thyroid gland tissue. Lymphadenectomy of the central part of neck is also recommended, with the abstraction of the jugular chain lymph nodes. In the case of positivity of one of those lymph nodes, it is necessary to perform a functional cervico-mediastinic lymphadenectomy.
在本综述中，作者探讨了甲状腺髓样癌（MTC）的自然病史、临床特征、诊断方法及外科治疗，特别强调建议始终进行细致的全甲状腺切除术，不留任何残余甲状腺组织。还建议进行颈部中央淋巴结清扫，并摘取颈静脉链淋巴结。如果其中一个淋巴结呈阳性，则有必要进行功能性颈纵隔淋巴结清扫术。
