Surgery ‘achieves long-term survival’ in medullary thyroid carcinoma

Patients having surgery for medullary thyroid carcinoma can live for more than two decades despite presenting with advanced disease, a study shows.
The retrospective study of 154 patients undergoing surgery at Sydney’s Royal North Shore Hospital between 1986 and 2020 showed that, despite a poorer prognosis than differentiated thyroid cancers, the disease was typically indolent.
Five-year overall survival (OS) was 89%, 10-year OS was 77% and median survival after surgery was 21 years, the analysis showed.
Half of the patients had stage IV disease at presentation, including 8% of the cohort who presented with distant metastases.