In standard MEN2A, MTC is the most common cause of death. However, if a Phaeochromocytoma is present, it MUST be removed before thyroid surgery to avoid intraoperative adrenergic crisis.
| Category | Typical Mutation | Thyroidectomy Age |
|---|---|---|
| Highest Risk (HST) | RET M918T | < 1 year |
| High Risk (H) | RET C634 | < 5 years |
| Moderate Risk (Mod) | Other RET codons | When calcitonin rises |
Revised American Thyroid Association guidelines for the management of medullary thyroid carcinoma.