Treatment of choice for medullary carcinoma of thyroid is: (A) Total thyroidectomy, (B) Paial thyroidectomy, (C) I131 ablation, (D) Hemithyroidectomy
Answer is A. Most patients with MTC should undergo at least total thyroidectomy The presence of clinically detectable or ultrasound-detectable disease in the lateral neck warrants total thyroidectomy and level VI and lateral compament nodal dissection. Because MTC is not of follicular cell origin, TSH suppression and RAI scanning and therapy have no role in MTC. Source : Sabiston 20th edition Pg : 910