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Medullary thyroid carcinoma (MTC) is a neuroendocrine tumor derived from parafollicular cells. At present, surgery is the most important treatment for MTC.

We describe the current approaches of MTC treatment (surgery, chemotherapy, radiation therapy, and biologic therapy).

MTC is currently approached surgically in the main part through total thyroidectomy and compartment‐oriented microdissection of cervicomediastinal lymph nodes. Substitutive l‐thyroxine administration together with close clinical monitoring and the measurement of basal and stimulated serum calcitonin are subsequently performed. Radiotherapy and chemotherapy play a marginal role in advanced MTC. Recently, it has been found that somatostatin analogs and type I interferon are able to control the neuroendocrine symptoms induced by advanced MTC and that they provide clinical benefit by …