Early diagnosis, therapy, follow-up and survival rate of the patients with thyroid malignancy

Author:

Malesevic Milica1,Mihailovic Jasna1ORCID,Vojicic Jelena1,Popadic Silvija1

Affiliation:

1. Institut za onkologiju, Zavod za nuklearnu medicinu, Sremska Kamenica

Abstract

The Aim of the paper was to give a reviw of an early diagnosis, therapy, follow-up and survival rate of patients with thyroid malignancy (TM). The paper presented the algorithm of early diagnosis: clinical, scintigraphic and ultrasonographic examination together with fine needle biopsy, cythologic analysis of the smear and biopsy ex tempore of the clear and suspected thyroid node to malignancy. Therapy of all TM forms was mainly surgical; postsurgical treatment was dependent on the type of malignancy: radioiodine 131-I, radiologic treatment, chemotherapy and radioimmunotherapy, (the latest one being in the phase of a clinical research). Follow-up was in accordance with the protocole and it was necessary because it contributes to the survival rate. In the presentation of survival rate for differentiated and medullar carcinomas we gave our results and literature data, while for the other malignancies only data from literature were presented. Conclusion: only an early diagnosis of the nodular goiter together with an up-to-date treatment can cure TM patients in a high percentage and prevent development of a terminal stage of the desease which is extremely severe in all forms of this malignancy.

Publisher

National Library of Serbia

Subject

General Medicine

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