After
10 years, this second edition is extensively rewritten and updated and
provides a source of information concerning all aspects of medullary
thyroid carcinoma, including comprehensive actual references for
interested scientists.
Medullary
thyroid carcinoma (MTC) is a rare unique tumor which differs from other
thyroid tumors by originating from the neuroendocrine C-cell, secreting
the specific tumor marker calcitonin. MTC is associated in about 25% of
cases with multiple endocrine neoplasia type 2, an autosomal dominant
familial disorder causing tumors within various endocrine glands. The
molecular genetics of tumor development is clarified: hereditary as well
as sporadic MTC are linked to mutations in the RET proto- oncogene
coding for a tyrosine kinase. These RET mutations serve as a genetic
marker for hereditary MTC and allow for prophylactic thyroidectomy in
gene carriers. The RET-tyrosine kinase is also a new therapeutic target
using selective tyrosine kinase inhibitors improving the outcome of
advanced metastasized MTC.
This
book will be an ideal source of up-to-date information for a wide range
of practitioners, including endocrinologists, oncologists, internal
medicine specialists, geneticists, and nuclear medicine physicians.