[Late results of repeated operations for thyroid cancer].
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Adolescent↗
Biomedical subjects
L F Likhoradova
Publications and source records attributed to L F Likhoradova.
[Indications for the repeat operations in thyroid gland cancer].
In the clinic of head and neck tumors of the P. A. Herzen Research Institute of Oncology during the period from 1962 to 1977 1417 patients were operated upon for thyroid tumors. Reoperations were performed in 198 patients (13.9%). The causes, which condition the necessity to perform reoperations, are discussed. The former are mainly due to violating of oncological principles of examination and surgical treatment of thyroid cancer patients in general surgery departments. The authors give a detailed analysis of indications to reoperations, which are based on an inadequate primary operation, the presence of a residual tumor in the thyroid and regional lymph nodes, as well as on thyroid scanning findings. The method of choice in repeat surgery should be extrafascial subtotal or total thyroidectomy with the revision of regional metastases zones and performing lymphadenectomy, if indicated.
Adult↗
[Recurrent thyroid gland neoplasms].
The data on 106 patients with thyroid cancer recurrence are reported. The recurrences occurred in the zone of surgery in 76.4%, beyond this zone--in 23.6%. During a 3-year period the recurrence occurred in 41.5%, from 3 to 10 years - in 44.4%, after 10 years and longer - in 14.1%. One of the main causes of the recurrence is an inadequate extent of primarily performed surgery. The recurrent tumor was detected by palpation, regional metastases were detected in 47.1%, distant--in 22.6%. A lower differentiation of the recurrent tumor was noted. The combination treatment was employed in 64% of patients. The principal surgical procedures were as follows: total thyroidectomy and subtotal thyroidectomy.
Adult↗