Treatment of Medullary carcinoma of thyroid is: (A) Surgery and Radiotherapy, (B) Radiotherapy and Chemotherapy, (C) Surgery only, (D) Radioactive ablation
Answer is C. Management Total thyroidectomy + Routine central lymph node dissection + ipsilateral modified radical node dissection (Tumor > 1cm) +- Bilateral modified Radical neck dissection (if any lymph node is positive) MCT - Poor prognosis (because it does not respond to radioactive iodine ablation) Vandetanib - Only FDA approved drug in advanced progressive medullary thyroid cancer.