Lorenz Kerstin, Machens Andreas, Dralle Henning
Klinik für Viszerale, Gefäß- und Endokrine Chirurgie, Universitätsmedizin Halle, Ernst-Grube-Str. 40, 06120, Halle/Saale, Deutschland.
Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Division Endokrine Chirurgie, Universität Duisburg-Essen, Essen, Deutschland.
Chirurgie (Heidelb). 2025 May 19. doi: 10.1007/s00104-025-02289-w.
This article provides an overview of surgically relevant diagnostic and operative aspects of medullary thyroid carcinoma (MTC) regarding current trends from recent studies and the expected adaptation of national S3 guidelines. The article addresses individual patient treatment options based on recognizable risk factors, the intraoperative resection strategy and standard procedures as well as the characteristics of sporadic and hereditary MTC with the concept of prophylactic thyroidectomy.
本文概述了甲状腺髓样癌（MTC）在手术相关诊断和手术方面的当前趋势，这些趋势来自近期研究以及国家S3指南的预期调整。本文基于可识别的风险因素阐述了个体患者的治疗选择、术中切除策略和标准程序，以及散发型和遗传性MTC的特征与预防性甲状腺切除术的概念。
