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Cited by 381

The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.

Prophylactic Thyroidectomy in Multiple Endocrine Neoplasia Type 2A

Open access
Skinner, Michael A., Moley, Jeffrey A., Dilley, William G., Owzar, Kouros, DeBenedetti, Mary K., Wells, Samuel A.·2005·New England Journal of Medicine

Abstract

BACKGROUND: Medullary thyroid carcinoma is the most common cause of death in patients with multiple endocrine neoplasia (MEN) type 2A (MEN-2A) or type 2B or familial medullary thyroid carcinoma. We sought to determine whether total thyroidectomy in asymptomatic young members of kindreds with MEN-2A who had a mutated allele of the RET proto-oncogene could prevent or cure medullary thyroid carcinoma. METHODS: A total of 50 patients 19 years of age or younger who were consecutively identified through a genetic screening program as carriers of a RET mutation characteristic of MEN-2A underwent total thyroidectomy. Five to 10 years after the surgery, each patient was evaluated by physical examination and by determination of plasma calcitonin levels after stimulation with provocative agents. RESULTS: In 44 of the 50 patients, basal and stimulated plasma calcitonin levels were at or below the limits of detection of the assay (proportion, 0.88; 95 percent confidence interval, 0.76 to 0.95). Two patients had basal and stimulated plasma calcitonin levels above the normal range. Stimulated plasma calcitonin levels had increased but remained within the normal range in four patients. The data suggest that there was a lower incidence of persistent or recurrent disease in children who underwent total thyroidectomy before eight years of age and in children in whom there were no metastases to cervical lymph nodes. CONCLUSIONS: In this study, young patients identified by direct DNA analysis as carriers of a RET mutation characteristic of MEN-2A had no evidence of persistent or recurrent medullary thyroid carcinoma five or more years after total thyroidectomy. A longer period of evaluation will be necessary to confirm that they are cured.

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Metadata

Authors
Skinner, M. A., Moley, J. A., Dilley, W. G., Owzar, K., DeBenedetti, M. K., & Wells, S. A.
Venue
New England Journal of Medicine
Published
2005-09-15
Volume
353
Issue
11
Pages
1105-1113
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2025526034
Cited by
381
References
19
FWCI
15.51
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Prophylactic Thyroidectomy in Multiple Endocrine Neoplasia Type 2A. https://app.cochat.ai/papers/10.1056/nejmoa043999
The paper
Skinner, M. A., Moley, J. A., Dilley, W. G., Owzar, K., DeBenedetti, M. K., & Wells, S. A. (2005). Prophylactic Thyroidectomy in Multiple Endocrine Neoplasia Type 2A. New England Journal of Medicine. https://doi.org/10.1056/nejmoa043999

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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