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Bone, lung, and liver were the common sites of metastases. Persistent hypercalcitoninemia 50 pg/mL was seen in 49.9%. Salvage surgeries of the neck were necessary in 29 patients (38.2%). Mean survival was 66 months and 10-year survival was 35%. Male gender ( = 0.008) and Stage IV disease at presentation ( = 0.038) were associated with poorer survival. MTC, in our population, presented at an advanced stage. Male gender and stage IV at presentation had poor survival. Early diagnosis, aggressive initial neck clearance, close follow-up w