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Department of Nuclear Medicine, The Fourth hospital of Hebei Medical University, Shijiazhuang, Hebei, China
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, early diagnosis of the primary tumor and metastases is essential for outcomes. Basal calcitonin (bCt) and carcinoembryonic antigen (CEA) can be used for diagnosis and follow-up of MTC. In case of increased bCt levels, a calcium stimulation test may be
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remained stable between April and September 2020, while a clinical progression with the appearance of symptoms related to hormonal secretion, an increase in calcitonin, and a RECIST progression occurred in December 2020. The case was discussed in our local
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). Metastatic neck lymph node or mass was defined by the presence of metastatic cells in the cytology report and/or with an elevated concentration of the in situ thyroglobulin (TG) >10 µg/L or calcitonin >2000 ng/L. Figure 1 Flowchart of the sample