[The point of view of otolaryngologist and head and neck surgeon on thyroid diseases]. / Spojrzenie otolaryngologa-chirurga glowy i szyi na choroby tarczycy.

In the paper authors have analyzed 70 cases of different neck, throat and larynx tumors connected with thyroid gland (44 female and 26 male, age 14 to 78), treated surgically in ENT Department of Country Hospital No 1 in Rzesów from 1974 to 1994. The material consists of 35 (50%) patients with neck tumors of thyroid origin, 20 (28,6%) patients with the tumor of thyroid gland or with nodular goitre, 8 (11,4%) patients with advanced cancer of the thyroid with shortness of breath and 7 (10%) patients with ectopy or splitted of thyroid. Based on the histopathological examination it was revealed that the highest group consists of patients with thyroid cancer because all of them live in the south-east part of Poland, which is known to be the area of higher risk of thyroid cancer. Neck tumor was the first symptom of thyroid disease in half of patients from the group mentioned above and the first symptom of 57,5% of patients with malignant neoplasms of thyroid gland were metastases to the neck lymph nodes. Among patients with thyroid malignant neoplasm the male:female ratio was 1:1,35, and the mean age-53,5 years was about 10 years higher than in the rest of patients. In 7 patients with thyroid cancer effective radical surgical treatment was applied. In 5 cases surgical treatment exceeded thyroid gland. It required very careful dissection and identification of recurrent laryngeal nerves and parathyroid glands to avoid iatrogenic damage.

[A model for diagnosis and treatment of thyroid tumors]. / Model postepowania diagnostycznego i leczniczego w guzach tarczycy.

From 1992 to 1994 23 patients with tumor or nodular goiter of thyroid gland have been treated in Otolaryngology Department of County Hospital No 1 in Rzeszów, Poland. Histology examination has revealed malignant tumors in 5 (21.7%) cases: papillary carcinoma in 3 cases and follicular carcinoma in 2 cases. Based on own material and references authors present the model of diagnostic course in case of single or multiple nodules of thyroid gland. Physical examination, ultrasonography, thyroid hormone levels, fine-needle biopsy, nuclear scan and intrasurgery pathology examination in case of malignancy suspicion have been taken into consideration. Treatment of thyroid gland tumors requires cooperation otolaryngology, endocrinology, oncology and surgery specialties. In a case of thyroid carcinoma radical surgery must be followed by radiotherapy with using radioactive iodine and/or external radiotherapy.

[Suprahyoid lymphangiectomy in patients treated for lip cancer]. / Nadgnykowe usuniecie wezlów chlonnych u chorych leczonych z powodu raka wargi.

Bilateral suprahyoid lymphangiectomy have been made in 95 patients because of suspicion of submandibular lymph nodes metastases. The patients with lip carcinoma have been previously treated with surgery, surgery and radiotherapy or with radiotherapy followed by surgery. Histological examinations have revealed lymph node metastases in 62 (65.3%) patients, in 31 (32.6%) patients histology has been negative and in 2 (2.2%) patients lymphonodular tuberculosis has been stated. Authors have analyzed 3, 5 and 10 years survivals in 65 patients after suprahyoid lymphangiectomy during lip cancer treatment.

[Follicular carcinoma of the ectopic lingual thyroid]. / Rak pecherzykowy ektopowej tarczycy jezykowej.

The ways of origin and the methods of diagnosing of the ectopic thyroid gland have been described. The authors have shown the case of follicular carcinoma of ectopic lingual thyroid gland in 35 years woman. The effective surgery (labiomandibuloglossotomy and total extirpation of the tumor) and following irradiation therapy with 131I haven't revealed recurrence of the disease during 2.5 years observation. The permanent substitution therapy with thyroxine has secured the euthyreotic state for the patient.