[Surgical and postsurgical therapy of differentiated carcinomas of the thyroid]

Surgical removal of the gland has been for a long time an essential tool in the therapy of differentiated thyroid carcinomas. Radical or conservative operation is discussed in the surgical management of thyroid carcinoma. In all cases main risk factors must be considered: age, sex and tumour extension. I131 therapy is prescribed in the treatment of functioning metastasis of patients after total thyroidectomy. Substitutive hormonotherapy must also suppress TSH secretion.