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Medicine Endocrinology 87f73f76

What laboratory test is most appropriate for this patient?

A
Alpha-fetoprotein
B
Beta2-microglobulin
C
Calcitonin
D
Insulin-like growth factor-1
High-Yield Explanation
Answer C. CalcitoninThis patient had multiple flesh-colored papules on the eyelids, lips, and tongue. This phenotype is suggestive of multiple endocrine neoplasia (MEN) type 2B (MEN-2B), an autosomal dominant condition characterized by medullary thyroid cancer among other features. Serum calcitonin can be used to screen for medullary thyroid cancer.

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