Abstract
Medullary thyroid cancer, or MTC, is an uncommon type of thyroid malignancy. It originates from a specific group of cells within the thyroid gland called calcitonin-producing C cells. An even rarer complication of MTC is when the cancer extends beyond the thyroid gland and reaches the area behind the breastbone, known as the retrosternal space. This specific scenario is estimated to occur in only 0.2-0.8% of all thyroid cancers associated with MEN syndromes or a positive family history We report the case of an older man who had difficulty breathing and a large swelling on the right side of his neck. A needle aspiration biopsy revealed MTC, and he was treated accordingly. While large thyroid glands have been documented, our case of MTC with extension from the upper right neck to the mid-chest, not associated with MEN syndrome additionally, is one of the infrequent cases to account as the prognosis for retrosternal MTC is generally worse than for MTC that occurs in the neck only. However, early diagnosis and treatment can improve the chances of survival.
Published Version
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