AIM: Selective and critical presentation of the present exploring methods concerning surgical @entity1374 and accomplishing a pre-surgical diagnosis as accurate as possible. Depending of the diagnosis--choosing the most appropriate surgical strategy according to the newest concepts in thyroid pathology. MATERIALS AND METHOD: Clinical-statistic study, carried out retrospectively over 1,108 @entity1 having various surgical thyroid maladies hospitalized in 1980-1999 period. There have been operated 1,058 cases. Demographic structure as regards sex, F/M was 9.07/0.93 for @entity5651 , whereas for @entity259 it was 3/1. RESULTS: @entity8170 are the most frequent (77.31%), with a pathology benign majority (91.30%). The fundamental problem is the pre-surgical establish malign lesions that require a complex therapeutic protocol comparing to benign nodules. Benign lesions 91.30%, @entity189 5.48%, others 3.21%. All types of thyroidectomies have been made: T.ST 69.37%, T.T for benign and malign lesions 7.65% and other procedures. Thyroid specific morbidity is 4.25%, whereas unspecific is 8.69%. The 0.08% mortality (1 case), virtually null, place the result between the best of the kind. CONCLUSIONS: Pre-surgical diagnosis, as accurate as possible, based on the clinic exam using the vacuum punction with a fine needle, finally confirmed by the @entity982 exam, provided the choice of an optimal surgical strategy, followed by an appropriate post-surgical protocol. Total thyroidectomy is the preferred procedure is most of the @entity259 forms and in benign diseases is highly recommended ( @entity8170 , @entity1378 , @entity2743 , @entity5 ).

[Present strategies in the diagnosis and treatment of XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity8170 :: ('MESH:D006044', 'Disease') :: ['Nodular goiters', 'multi-nodular goiters'] @entity2743 :: ('MESH:D006111', 'Disease') :: ['Basedow disease'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinomas'] @entity1378 :: ('MESH:D006980', 'Disease') :: ['hyperthyroid'] @entity982 :: ('MESH:D010232', 'Chemical') :: ['paraffin'] @entity5651 :: ('MESH:D006042', 'Disease') :: ['goiters'] @entity259 :: ('MESH:D013964', 'Disease') :: ['thyroid cancer'] @entity1374 :: ('MESH:D013959', 'Disease') :: ['thyroid diseases']
@entity1374 :: (MESH:D013959,Disease) :: ['thyroid diseases']
