Surgical treatment strategy for thyroid gland malignant tumours

For many reasons the management of thyroid rumours is controversial. One can apply a graded therapeutic strategy, selecting aggressive surgical and medical behaviour while reserving more conservative therapy for lesions excepted to follow an indolent course. The authors present their experience with surgical treatment for thyroid carcinoma. The authors believe that the best treatment for patients with differentiated thyroid carcinoma size other 1 cm is total thyroidectomy followed by radioiodine therapy. Patients presenting with primary tumours of 1 cm or less, limited to rile thyroid gland call be appropriately treated with total hemithyroidectomy only. Differentiated thyroid carcinoma are TSH depend tissues and were treated complementary with TSH doses of synthetic thyroid hormones. The serum thyreoglobulin measurement for patients after total thyroidectomy only follow-up is presented as effective to recurrences, nodal or distant metastases occur after initial therapy. The authors observed that the best treatment for medullary carcinoma is a total thyroidectomy followed with teleradiotherapy and substitutive doses of thyroid hormones.