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[Combined surgical interventions for advanced thyroid carcinoma].

An analysis of specificities of 141 combined operations for advanced (T4) papillary, follicular and medullary thyroid carcinoma has shown that such operations proved to be necessary in 5.4% out of 2606 patients operated for carcinoma of the thyroid gland (CTG). In most cases these operations were of organ-sparing character. In 10.5% of the patients circular resections of organs of the respiratory and digestive systems were fulfilled on the neck and head. Complete removal of the tumor was obtained in more that 2/3 of observations. The direct and long-term results were noted after thyroidectomies, lymphadenectomies and organ-sparing resections of other neck organs. The indices of 5 and 10 years survival of patients with papillary, follicular and medullary thyroid carcinoma depended on gender, on the tumor affected organ, on the histological type of the neoplasm under conditions of performing the operations by highly professional surgeons.