Ján Sojak, Marián Sičák, Katarína Obtulovičová, Mikuláš Pura, Adrian Kališ
An integral part of perioperative surgical strategy of patients with papillary thyroid carcinoma which has a major impact on the extent of the surgery is ultrasonography, fine needle aspiration biopsy and intraoperative biopsy. In the retrospective study we aimed to assess their practical utilization. Preoperatively implemented ultrasonography, diagnostic fine needle aspiration biopsy, if collected properly, can greatly assist in initial deciding on the extent of surgery. Then the following surgeon’s actions are guided by the intraoperative biopsy, which crucially affects radicalism of the surgery. An excessive intervention alters the patient; however, if the intervention is not sufficient, there is a risk of reoperation, persistence, and recurrence. These examinations should become a regular part of the thyroid surgery of the thyroid gland, and particularly in cancer patients. Convenient perioperative management can only be achieved after the interdisciplinary unification of procedures.
Keywords: papillary thyroid cancer, fine needle aspiration biopsy, intraoperative biopsy, perioperative management