Multiple endocrine neoplasia Quiz: Ace Your Exams
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A 22-year-old man presents to the clinic for a routine check-up. The patient’s mother had surgery at a young age for medullary thyroid cancer, and his maternal grandfather had “high calcium” and an adrenal gland tumor. The patient was told that his family has a familial “tumor syndrome.” The patient is concerned about his risk for similar problems. He currently has no symptoms and is in good health. Vital signs are within normal limits. On physical examination, there are no palpable masses in the neck. There is no evidence of mucosal neuromas. Biochemical screenings including serum calcium, calcitonin, and plasma fractionated metanephrines are within normal limits. Which of the following is the most appropriate next step in the evaluation of this patient?
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