[Benign formations and thyroid cancer in men (based on data from Arkhangelsk Province)].
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Biomedical subjects
Publications and source records attributed to V I Kopylov.
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The paper discusses a 5-year experience of the Dispensary Department of Head and Neck Cancer with repeated operations for recurrent nodular goiter (60 cases), thyroid cancer developing in recurrent goiter (18 cases) an thyroid malignancies (28 patients). Intrafascial partial resection and reduced extent of surgery proved to be insufficiently radical in 46.4% of cancer patients and one-third of those with benign lesions.
The extrafascial method of operation was used because of high risk of malignization of nodular endemic goiters. The extrafascial hemithyroidectomy with an isthmus is considered by the authors to be the major and minimum operation volume in patients with nodular goiters. The method was used in 76,8% of the patients. In patients with thyroid carcinoma the operation of this volume was fulfilled in 66,5% of cases.
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Radiation studies, including computed tomography (CT) and magnetic resonance imaging (MRI), revealed that these techniques can accurately determine the site of a tumor, the borders of its spread to the adjacent anatomic structures. They also revealed the features of CT in detecting osseous structural destruction and the advantage of MRI in visualizing the soft tissue component of a neoplasm and in distinguishing the degree of contrast of tumor tissue and concurrent secondary inflammation. The accuracy of CT and MRI for small tumors is 45-80 and 29% higher than that of X-ray study and traditional tomography, respectively. The potentialities of all radiation diagnostic techniques for over 3.0-cm tumors are equal.
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