Ear, nose & throat · UKMLA & AKT

Medullary thyroid carcinoma

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise medullary thyroid carcinoma — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Accounts for ~5% of thyroid cancers
  • Arises from parafollicular C-cells (not follicular cells) - produces calcitonin (key tumour marker)
  • Sporadic (~75%) - solitary, unilateral, fifth to sixth decade
  • Hereditary (~25%) - part of MEN 2A, MEN 2B, or familial MTC; bilateral and multifocal

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