Dataset associated with the paper "Changing the paradigm: lobectomy for sporadic medullary thyroid cancer"

Dataset associated with the paper "Changing the paradigm: lobectomy for sporadic medullary thyroid cancer". This set of raw data cannot be made publicly available as it includes sensitive information, but it may be available to interested researchers upon reasonable request. Please forward your request to: [e-mail] Abstract: Objectives: Total thyroidectomy is the treatment of choice for medullary thyroid cancer (MTC), although the sporadicforms are usually monocentric. Aim of the present study was to evaluate i) the performance of calcitonin (Ct) levels,ultrasound scans (US) and cytology in the preoperative identification of MTC and ii) the number of total thyroidectomiesthat could have been avoided being the location of the MTC diagnosed preoperatively.Materials and methods: We retrospectively analyzed 89 RET germline negative patients diagnosed with MTC in the past30 years, treated with total thyroidectomy ± lymphadenectomy, and followed in our Tertiary Care Center. In a subgroupof 55 patients, divided in those with a mono- or bi-lateral goiter, we applied ex-post criteria for the presurgicalidentification of the lobe holding the MTC nodule.Results: Only 2/89 patients (2.2%) had a bilateral MTC at histology. A strongly significant correlation was found betweenpreoperative basal Ct levels and MTC size. According to the ex-post identification criteria, the 84.4 and 56.5% of thenodules would have been identified preoperatively as MTC in monolateral and bilateral goiters, respectively.Conclusions: This is the first European study that aims to evaluate the feasibility of lobectomy as first-line therapy for MTCbased on the evaluation of thyroid US and serum Ct levels. These tools have been shown to have a good accuracy indetecting the affected lobe and strongly support the possibility to perform a more conservative surgery to treat RETnegativepatients with suspicious MTC and nodular goiter.