The long Time results of the surgical treatment of medullar thyroid cancer patients
Through the period from 1995 till 2004 the radical tactic of surgical treatment was used for 83 medular thyroid cancer patients. Thyroidactomy, and dissection of central, bouth lateral and mediasthinal regions of the lymphatic metastases. The radical tactic at the first surgery was used for 34 patients (group M 1). For 42 pasients the radical tactic was used at second surgery (group M 2). At the moment of the treatment start there was no difference in prognostic features in M1 and M 2 groups. The difference was in the time of use of the radical surgical tactics. Was shown, that the use of the radical tactics at the first surgery for the medullar thyroid cancer improves overall 5 year survival for 29,41% (p= 0,024), and 5 year recurrence free survival for 45,66% (p= 0,000).