Epitheliomas thyroidiens differencies

Long term prognosis of differentiated thyroid carcinoma is favourable, being modulated by several factors, age and histology being the most relevant. Initial treatment includes firstly surgery: loboisthmusectomy in case of intra-thyroid tumor, unifocal, less than 1.5 cm in diameter in patients with favourable prognostic indicators, total thyroidectomy with the administration of an ablative dose of ¹³¹I in all the other patients. A routine dissection of the paratracheal groove and of the supraclavicular area is performed in all patients. L-thyroxine treatment is given to all patients. Relapses should be discovered early; this is made possibly by the combined use of serum thyroglobulin measurements and of ¹³¹I total body scans.