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Medullary Carcinomas | Open Access Journals
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Cancer Science & Therapy

ISSN: 1948-5956

Open Access

Medullary Carcinomas

Medullary carcinoma is a tumor of C cells, which normally produce calcitonin. Medullary carcinoma is a typical neuroendocrine tumor with a finely divided nuclear chromatin which may show nuclear molding . A wide variety of morphological variants of spinal cord carcinoma have been described, and some tumors are associated with an amyloid stroma. Many spinal cord carcinomas occur in type I multiple endocrine neoplasia (MEN). These patients have germline mutations in the MEN gene, and tumors tend to appear in diffuse C-cell hyperplasia , which can be demonstrated immunohistochemically by staining for calcitonin. Medullary carcinomas can metastasize relatively early in their course. Calcitonin is a useful cellular and serum biomarker for these neoplasms and can be used to assess residual and recurrent diseases.

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