[Diagnosis of solitary thyroid gland nodules].

Solitary thyroid gland nodes have presented an entity in thyroid surgery and endocrinology for a long period of years mostly due to frequent occurrence of malignomas and other changes of thyroid gland as well as to insufficient and uncertain clinical diagnostics. The only certain diagnostics is still the intraoperative exploration and ex tempore biopsy of the change, which means that surgery presents both a diagnostic and therapeutic procedure. At the Clinical-Hospital Center "Dr Dragisa Milosevic" in Belgrade, Department of Surgery, 100 patients with preoperatively diagnosed solitary thyroid gland nodes underwent surgery during a 4 year period. In all patients a uniform clinical diagnostics was performed, and then, on the basis of intraoperative findings and ex tempore biopsy, gathered results were compared and reliability of certain preoperative diagnostic procedures was considered in regard to intraoperative findings. The aim of this study was to point to necessity of application of all relevant indexes in diagnostics with a special review on the intraoperative finding as the most relevant in making the decision about the range of surgery and further postoperative treatment.