FIELD: medicine.
SUBSTANCE: surgery is preceded by an ultrasound-controlled fine-needle aspiration biopsy. If a microscopic examination of the biopsy material diagnoses one of the forms of differentiated thyroid carcinoma: papillary or follicular, localised in one of the lobes or isthmus only, an additional ultrasonography is diagnosed. An edge roughness aggravated with hypervascularised thyroid gland, as well as enlarged lymph nodes on the involved side are determined. If one of the forms of the differentiated thyroid carcinoma has been stated, the thyroid gland is completely dissected with subcutaneous fat and level IV cervical lymph nodes which is followed by a postoperative therapy with radioactive iodine and a suppressive therapy with L-T4 preparations.
EFFECT: method enables determining an optimum extent of the surgical intervention and a following therapeutic procedure enables minimising a probability of the recurrence, providing a higher probability of diagnosing malignant growths behind the thyroid tissues.
3 ex
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Authors
Dates
2014-07-10—Published
2013-02-21—Filed