Pediatric Medullary Thyroid Cancer
What is Pediatric Medullary Thyroid Cancer?
Medullary thyroid cancer (MTC) is a type of thyroid cancer that originates in the parafollicular cells, which are known as “C” cells because they secrete the hormone calcitonin.
Risk Factors
Risk factors for MTC may include:
A family history of MTC
A family history of multiple endocrine neoplasia (MEN)
A prior history of pheochromocytoma, mucosal neuromas or hyperparathyroidism
What are the different types of Pediatric Medullary Thyroid Cancer?
There are two types of MTC:
Inherited MTC
Inherited MTC runs in families.
Sporadic MTC
Sporadic MTC does not run in families.
What are the signs and symptoms of Pediatric Medullary Thyroid Cancer?
How is Pediatric Medullary Thyroid Cancer diagnosed?
There are several methods that are used for diagnosing MTC. Your child’s doctor may use a combination of these methods:
History and physical exam
Blood tests
Ultrasound (a noninvasive test that uses sound waves to take pictures of the thyroid)
Fine needle biopsy (removal of a small amount of thyroid tissue using a thin needle; the tissue is later examined under a microscope)
What are the causes of Pediatric Medullary Thyroid Cancer?
The exact cause of MTC is unknown. As with all types of cancers, it is caused by the growth of abnormal cells that multiply rapidly, forming what is known as a tumor.
How is Pediatric Medullary Thyroid Cancer treated?
The extent of surgical and medical treatment will depend on the extent of your child’s disease.
Surgery
Initial treatment consists of surgical excision of the thyroid gland. Medullary thyroid carcinoma can spread through the body’s lymphatic system to lymph nodes in the neck adjacent to the thyroid gland and beyond, and surgical removal of these lymph nodes may also be required. In more advanced cases it may spread to the lungs.
Medullary thyroid cancer is not particularly sensitive to radioactive iodine ablation or chemotherapy, so surgical resection is the mainstay of treatment. Once surgical treatment is complete, in some cases radiation or other interventions may be required to treat extensive or residual disease.
Pediatric Medullary Thyroid Cancer Doctors and Providers
