Various strategies in the diagnosis and therapy of thyroid gland cancer. Results of a survey
Goretzki, P.E.; Frilling, A.; Ohmann, C.; Wins, L.; Grussendorf, M.; Röher, H.D.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 60(6): 398-402
1989
ISSN/ISBN: 0009-4722 PMID: 2758893 Document Number: 329898
In a questionnaire we compared generally adviced therapeutical and technical procedures in patients with thyroid carcinomas with the actually favorized strategy of the clinically active surgeons. At present, sonography and cytology are not favored as preoperative diagnostic tools by the questioned surgeons. Hemithyreoidectomy as primary procedure in suspicious nodules is performed only seldomly. In the treatment of thyroid carcinoma total thyroidectomy is the accepted procedure and the possibility of restricted radicality in the treatment of papillary thyroid carcinomas has gained wide acknowledgement. Most surgeons prefer to visualize the recurrent nerve and at least one or two parathyroid glands. Autotransplantation of parathyroid glands with insufficient blood supply is considered only seldomly.