[Results of palliative operations in patients with "neglected" thyroid cancer].

An analysis of 169 palliative surgical interventions out of 581 patients with "neglected" papillary, follicular and medullary thyroid cancer was made for the period from 1975 to 2010.The majority of the patients was older than 60 years, 40 of them had hematogenic dissemination. In 10 (6.

[Urgent operations for diseases of the thyroid gland and postoperative complications].

Anasplastic carcinoma of the thyroid gland (243 cases), polinodous goiter of cervical retrosternal localization (25 cases), acute purulent strumitis or thyroiditis (9 cases) induced disturbance of aero-digestive organs of the neck and resulted in the necessary urgent surgical care. The most dangerous complications after 23777 operations on the TG requiring repeated surgical intervention were bilateral lesion of the recurrent nerves (1% of observations), hemorrhages in the TG bed (0.38% of observations).

[Invasion of nerves and vessels in locally spread differentiated cancer of the thyroid gland: surgical strategy].

The author considers clinical manifestation, surgical strategy, immediate and long-term results of operative treatment of 177 (38.1%) patients with invasion of nerve trunks and 147 (31.6%) patients with spread of "neglected" carcinomas of the thyroid gland on the vessels of the neck and mediastinum.

[Two-stage surgical method of treatment of locally disseminated cancer of the thyroid].

The article presents immediate and long-term results of treatment of 74 (15.9%) patients with disseminated regional metastasing of the thyroid cancer from a group of "high operative risk". It was shown that in elderly patients having many coexisting diseases with vast dissemination of the primary tumor with invasion to the surrounding organs and tissues and involvement of lymph nodes on the neck on both sides and in the mediastinum the operations should be divided into 2 stages.

[Prophylaxis of hypoparathyroidism after operations on the thyroid gland].

An analysis of results of surgical treatment of 50 patients aged from 16 to 75 years with different diseases of the thyroid has shown that the frequency of decrease of the level of calcium and parathormone becomes less in the row: diffuse toxic goiter, cancer of the thyroid gland, polynodous euthyroid goiter. Decrease of the calcium and parathormone level is associated with deterioration of blood circulation and functional activity of parathyroid glands after operation on the thyroid gland. The patients after operation on the thyroid gland need prophylactic administration of calcium preparations.