[Surgical tactics in thyroid nodular neoplasms associated with chronic autoimmune thyroiditis]

There were analyzed the results of surgical treatment of 628 patients with different thyroid nodular neoplasms combined with autoimmune thyroiditis, who were operated in the surgical department of the Mandryka Central Military Clinical Hospital in 1989-2001. The use of organ-preserving operations is substantiated by the necessity of maximal decrease of the post-operative complication level and preservation of thyroid hormonogenic function. Resection with node removal within the limits of healthy tissues is substantiated by the results of analysis of morphologic structure of nodular neoplasm and adjacent thyroid tissue. The analysis of repeated operations has shown that the etiology and morphologic structure of nodular neoplasm (but not the volume of operation) play the main role in the pathogenesis of relapse development.