The choice of surgery volume in case of solitary follicular thyroid neoplasm depending on the urgent cytological examination data

Lukianov Stanislav Viktorovich, Alubaev Sergey Alexandrovich, Blikyan Karina Mikhailovna, Lukianov Nikita Stanislavovich

The objective of the study was to assess the need of urgent intraoperative study with solitary nodules of the thyroid gland, with the aim of further optimization of the volume of surgical intervention, as well as determine the possibility and conditions for the use of thyroid resection in these patients. The results of diagnostics and surgical treatment of 415 patients operated for solitary thyroid follicular neoplasia during last three years are presented. Clinical data and morphological pattern of the tumors were studied. Diagnostic value of preoperative and intraoperative methods used in this group of patients was estimated. Selective approach for treatment solitary follicular neoplasia of the thyroid depending on the characteristics of the tumor and the thyroid has been proposed. Conclusions. When choosing the volume of surgery for a single follicular tumor, it is necessary to take into account its size and localization, as well as the functional state of the thyroid gland. With small tumors and normal thyroid function it is possible to perform a fraction resection, which reduces the risk, traumatic operation, and avoids substitution therapy.

Keywords:follicular neoplasia, thyroid, surgical treatment