[Early diagnosis and differentiated treatment of thyroid cancer]

Cancer of the thyroid gland is an entity characterised by progressive rise of morbidity. The study is based on the results of surgical treatment of 237 patients with various forms of thyroid cancer for the period of 11 years from 1987 to 1998. Absolute majority of malignant thyroid tumors are differentiated (94%). The study of morphological peculiarities of the tumors has shown the prevalence of an incapsulated type of cancer (84%). Such features of "biological aggression" as growth through the capsule of cancer node, vascular invasion, multicentricity and other high increase probability of regional metastasizing even in the initial forms of cancer and could be considered as a prognostic factor. Long-term result (5-year survival--98.9%, 10-year--96.8%), evidence for feasibility of organ-saving operations in differentiated cancer of the thyroid--e.g. saving of its intact lobe.