[Diagnostic and therapeutic measures in thyroid cancer]

Sixty-one patients were admitted for treatment with suspicion of thyroid cancer. Multimodality diagnosis and therapy were used including a medical history, general and local status, laboratory findings, x-ray examination of the lungs and bones, radioisotope and radioimmunological in vivo and in vitro tests, thyroid resection, rapid histological examination, total strumectomy, curietherapy using 131I and substituting hormonotherapy with the dry thyroid extract. The feasibility of the scannographic method in early diagnosis and detection of thyroid cancer or rejected suspicion of recurrence of metastases is emphasized. It is indicated in rapid histological examination that determines the volume of surgical intervention. 131I therapy with the activity of 185-370 is sufficient for a complete ablation of the thyroid residue and the prevention of recurrence or metastatic appearance in other organs irrespective of a histological type of carcinoma. The patients were followed up for 5 years.