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OCR: to e thyroid In all of the familial syndromes that lead medullary carcinomas (see Fig. 16.21), th s two or shows marked hyperplasia of C-cells plu nd 3, the more medullary carcinomas. In types 2 a plasia and adrenals show bilateral medullary hyper night multiple phaeochromocytomas. These r id present clinically before or after the thyr as are tumours. In type 3, the mucosal neurom f patients, present on the eyelids, lips, and tongue f the small and there may be ganglioneuromatosis thick and large intestines. These patients have ched blubbery lips, marfanoid habitus, high a es of palate, and pes cavus. In all types, relativ ened clinically diagnosed patients must be scr onin and, routinely for the presence of raised calcit secretions in types 2 and 3, for raised catecholamin See later: . Me ...