[Cancer in aberrant thyroid gland].
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Biomedical subjects
Publications and source records attributed to V I Tochilin.
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The authors describe a female patient with a chronic pattern of Gaucher's disease which remained unrecognized for a long time. Pregnancy was noted to affect the disease progress and development of liver cellular failure as well as the hemorrhagic syndrome. Splenectomy gave rise to a stable disease remission followed by normal pregnancy and delivery.
Of 3229 patients with diseases of the thyroid gland, in 71 we revealed cancer, in 61--ossified goiter, in 2--cast iron stroma, in 25--autoimmune thyroiditis, in 5--median and lateral cervical hydrocele, in 1 case each--neurinoma, thymoma and rhabdomyosarcoma. The complex clinico-radionuclide investigation of the patients contributes to accurate definition of diagnosis and choice of an adequate operative intervention.
Among 3229 patients with diseases of the thyroid gland aged from 6 to 83 years there were 2924 patients who had nodular forms of goiter and 71 patients who had malignant tumors of the thyroid. Thyroidolymphography with aimed trepanbiopsy was used to make more exact diagnosis. Complex clinico-radiological examination, thyroidolymphography with aimed biopsy before operation are considered to facilitate making more exact diagnosis and choosing the adequate treatment.
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The authors present 28 (1.1%) cases of cancer of the thyroid gland. The volume of surgical intervention for cancer of the thyroid gland depends on the stage of the process. Thyroidectomy and bilateral Crile's operation are indicated in presence of metastases in the lymphatic nodes in both sides of the neck. This intervention should be followed by postoperative radiotherapeutics. Average survival up to 5 years has constituted 50%, above, 10 years = 25%.
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Since 1970 to 1974 one hundred and eighty eight children with lymphadentis of different localization were observed by the authors. In 12 of 188 patients the diagnosis of chronic lymphadenitis was established, in the remainder of acute one. Seventy two patients (38.1%) needed surgical therapy, 106 patients were treated conservatively. Some practical recommendations are given.