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Calcitonin

A hormone of the thyroid's C-cells and the key marker of medullary thyroid cancer — used for both diagnosis and follow-up.

Other names: Thyrocalcitonin Section: Thyroid
In shortCalcitonin is produced by the C-cells of the thyroid. Typical normal values are below 25 pg/mL (7.3 pmol/L) in men and below 20 pg/mL (5.9 pmol/L) in women. Elevated or rising levels point to medullary thyroid cancer; borderline results are checked with a stimulation test.

Reference ranges

GroupReference range
Men — typical range (international reference, not a national standard)< 25 pg/mL (< 7.3 pmol/L)
Women — typical range (international reference, not a national standard)< 20 pg/mL (< 5.9 pmol/L)
Values from the MedlinePlus Medical Encyclopedia (international reference, not a national standard). Assays differ — the report's own interval applies. Reference ranges vary between laboratories and assays — use the range printed on your own lab report.

Check your value

Enter the number from your lab report — see how it compares with the typical range. Mind the units shown in the chosen row.

A rough comparison with a typical range, not a diagnosis. Reference ranges vary between laboratories — check the range on your own report and let a clinician interpret the result.

What this marker is

Medullary thyroid cancer arises from the C-cells and secretes calcitonin, making it a reliable tumor marker: levels reflect tumor burden and fall after successful surgery.

Modest elevations have other causes — proton pump inhibitors, smoking, kidney disease — so borderline results are interpreted cautiously, sometimes with a calcium or pentagastrin stimulation test.

When it is high

Medullary thyroid cancerThe main reason for testing: basal levels track tumor burden and response to surgery.
C-cell hyperplasiaA precursor state, sometimes hereditary; found in families with MEN2.
Non-thyroid causesKidney disease, proton pump inhibitors, smoking, and some neuroendocrine tumors.

When it is low

Expected findingMost healthy people have low basal levels; a low value argues strongly against medullary cancer.

What can skew the result

These factors can shift the value without any disease — worth considering before a retest:

Proton pump inhibitorsSmokingKidney function

How to prepare

Morning fasting sample. Repeat testing uses the same laboratory for comparability.

When a retest makes sense

A borderline result is repeated in the same laboratory; persistent elevation leads the endocrinologist to consider a stimulation test and neck ultrasound.

Who usually reviews this result

A result outside the reference range is usually reviewed by: an endocrinologist. Bring your lab report and any previous results to the appointment.

Names used on lab reports

Your report may use any of these names:
CalcitoninThyrocalcitonin

Units and conversion

Measured in: pg/mL

pg/mL = pmol/L
pmol/L = pg/mL × 0.293. Results are rounded to 2 decimal places.

Several markers on your report?

See how MedProtect explains results in the app: the whole report, a check of the recognized values, and a clear breakdown.

Frequently asked questions

Does calcitonin relate to calcium levels?
Despite the name, in adults its role in calcium regulation is minor — the test's value is as a tumor marker.
What is a stimulation test?
An intravenous stimulus (calcium or pentagastrin) followed by timed calcitonin measurements; an exaggerated rise supports C-cell disease.
Is medullary cancer hereditary?
About a quarter of cases are familial (MEN2) — confirmed medullary cancer leads to genetic counseling.

Sources

  1. Calcitonin test: MedlinePlus Medical Encyclopedia — MedlinePlus. Accessed: August 31, 2026.

See also