Surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto-oncogene mutations

Medullary thyroid carcinoma (MTC) may arise sporadically or in familial manner. We presented sporadic and familial cases with MTC in order to raise awareness on management of such patients. Three medullary thyroid carcinoma (MTC) cases were presented. Case 1 had RET634 mutation; managed with...

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Main Authors: Özlem Boybeyi-Türer, Doğuş Vurallı, İbrahim Karnak, Nazlı Gönç, Emel Şule Yalçın, Diclehan Orhan, Nurgün Kandemir, Feridun Cahit Tanyel
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2016-08-01
Series:The Turkish Journal of Pediatrics
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Online Access:https://turkjpediatr.org/article/view/1140
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author Özlem Boybeyi-Türer
Doğuş Vurallı
İbrahim Karnak
Nazlı Gönç
Emel Şule Yalçın
Diclehan Orhan
Nurgün Kandemir
Feridun Cahit Tanyel
author_facet Özlem Boybeyi-Türer
Doğuş Vurallı
İbrahim Karnak
Nazlı Gönç
Emel Şule Yalçın
Diclehan Orhan
Nurgün Kandemir
Feridun Cahit Tanyel
author_sort Özlem Boybeyi-Türer
collection DOAJ
description Medullary thyroid carcinoma (MTC) may arise sporadically or in familial manner. We presented sporadic and familial cases with MTC in order to raise awareness on management of such patients. Three medullary thyroid carcinoma (MTC) cases were presented. Case 1 had RET634 mutation; managed with total thyroidectomy (TT) and cervical lymph node dissection (CLND). Case 2 had RET804 mutation; managed with prophylactic TT. Case 3 had thyroid nodule; managed with TT and CLND. Case 1 had micro-carcinomatosis foci, Case 2 had normal thyroid tissue in histopathological examination and Case 3 had medullary thyroid carcinoma with tumor negative surgical borders. Case 1 was re-operated for persisting focus of disease. Follow-up of cases were uneventful. Clinicians and surgeons should be aware of critical timing for surgery and various surgical and clinical strategies in the management of MTC in children.
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language English
publishDate 2016-08-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-2bda97c4eb2847c49f1f4a3ae9cf2e072025-08-20T03:00:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212016-08-0158410.24953/turkjped.2016.04.017Surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto-oncogene mutationsÖzlem Boybeyi-Türer0Doğuş Vurallı1İbrahim Karnak2Nazlı Gönç3Emel Şule Yalçın4Diclehan Orhan5Nurgün Kandemir6Feridun Cahit Tanyel7Department of Pediatric Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.Divisions of Pediatric Endocrinology, Hacettepe University, Faculty of Medicine, Ankara, Turkey.Department of Pediatric Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.Divisions of Pediatric Endocrinology, Hacettepe University, Faculty of Medicine, Ankara, Turkey.Department of Pediatric Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.Pediatric Pathology, Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.Divisions of Pediatric Endocrinology, Hacettepe University, Faculty of Medicine, Ankara, Turkey.Department of Pediatric Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey. Medullary thyroid carcinoma (MTC) may arise sporadically or in familial manner. We presented sporadic and familial cases with MTC in order to raise awareness on management of such patients. Three medullary thyroid carcinoma (MTC) cases were presented. Case 1 had RET634 mutation; managed with total thyroidectomy (TT) and cervical lymph node dissection (CLND). Case 2 had RET804 mutation; managed with prophylactic TT. Case 3 had thyroid nodule; managed with TT and CLND. Case 1 had micro-carcinomatosis foci, Case 2 had normal thyroid tissue in histopathological examination and Case 3 had medullary thyroid carcinoma with tumor negative surgical borders. Case 1 was re-operated for persisting focus of disease. Follow-up of cases were uneventful. Clinicians and surgeons should be aware of critical timing for surgery and various surgical and clinical strategies in the management of MTC in children. https://turkjpediatr.org/article/view/1140RET proto-oncogenemedullary thyroid carcinomamultiple endocrine neoplasiasurgery
spellingShingle Özlem Boybeyi-Türer
Doğuş Vurallı
İbrahim Karnak
Nazlı Gönç
Emel Şule Yalçın
Diclehan Orhan
Nurgün Kandemir
Feridun Cahit Tanyel
Surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto-oncogene mutations
The Turkish Journal of Pediatrics
RET proto-oncogene
medullary thyroid carcinoma
multiple endocrine neoplasia
surgery
title Surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto-oncogene mutations
title_full Surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto-oncogene mutations
title_fullStr Surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto-oncogene mutations
title_full_unstemmed Surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto-oncogene mutations
title_short Surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto-oncogene mutations
title_sort surgical and clinical strategies in the management of thyroid medullary carcinoma in children with and without ret proto oncogene mutations
topic RET proto-oncogene
medullary thyroid carcinoma
multiple endocrine neoplasia
surgery
url https://turkjpediatr.org/article/view/1140
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