A case of Medullary Thyro...

37-year-old woman is noted to have a 3.2-cm right thyroid nodule. Family history is negative for thyroid cancer. On physical examination, her blood pressure is 118/78 mm Hg and pulse rate is 80 beats/min. She has no palpable lymph nodes in the neck.

Findings on FNAC are suggestive of medullary thyroid cancer.

Laboratory test results:

Serum calcitonin = 420 pg/mL (<8 pg/mL) , Serum calcium = 8.9 mg/dL (8.2-10.2 mg/dL) ,

PTH = 33 pg/mL (10-65 pg/mL), Plasma metanephrines, normal

 

This patient should not undergo thyroidectomy until she has had which of the following assessments?

A. Fluorodeoxyglucose PET scan

B. 66 Ga DOTATATE PET/CT

C. Neck ultrasonography

D. Sestamibi scan

 

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