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, lungs, bone and more rarely to the skin and brain. Liver metastases occur in 45% of patients with advanced metastatic MTC, and when increasing either in number and/or in size, treatment is indicated ( 5 ). When surgical resection of liver metastases is
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dissection. Cervical recurrences were treated by two supplementary surgeries. Liver metastases, which were slowly progressing since 2008, were treated by radiofrequency ablation in 2015. Bone metastases, which were diagnosed in 2010, were treated by external
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distant metastases were detected. Therefore, an active surveillance strategy was chosen. At the following evaluation (June 2020) CTN values increased (3254 ng/L) and 2 small (<1 cm) suspicious liver metastases were detected by abdomen magnetic resonance