ABSTRACT
Primary experience (177 patients) of diagnosis of thyroid gland diseases with radiothermography using microwave radiothermometer RTM-01-RES is analyzed. In unaffected thyroid gland there were no temperature differences between symmetric points of right and left lobe. Cancer of thyroid gland and toxic adenoma are characterized by higher internal temperature. High sensitivity of method and its simplicity are the reasons for use of radiothermography as screening method.
Subject(s)
Body Temperature , Thermography/instrumentation , Thyroid Diseases/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Diagnosis, Differential , Equipment Design , Female , Follow-Up Studies , Humans , Male , Middle Aged , Reproducibility of Results , Retrospective Studies , Sensitivity and Specificity , Thyroid Diseases/physiopathologyABSTRACT
Medical histories of 214 patients hospitalized with diagnosis "recurrent nodular goiter" were studied retrospectively. Complex clinical, laboratory and instrumental examination was carried out in all the patients. Comparative analysis demonstrated that in the structure of recurrent goiter nodular colloid form dominated (84.1%), only in 42.1% cases repeated surgeries were indicated. Other patients (15.9%) were the ones underwent surgery for other thyroid diseases (hypertrophied form of autoimmune thyroiditis, follicular adenoma, thyroid cysts, thyroid cancer). Inadequate surgery and prophylactic therapy with iodine drugs were the main causes of recurrent goiter. Adequate iodine prophylaxis (potassium iodide 100-200 mg per day), complex examination of patients, correct indications for primary surgery and adequate surgical volume, valuable postoperative therapy (iodine drug, LT-4 if it is necessary) permit to reduce the risk of recurrent nodular (multiple-nodular, diffuse-nodular) goiter. Ways of researches for improvement of diagnosis, prophylaxis and treatment results of "recurrence nodular goiter" are projected.
