Problems of clinical thyroidology and ways to solve them

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Abstract

The most significant tasks confronting specialists in clinical thyroidology of the North-western Russia at present and how to solve these problems.

Elimination of iodine deficiency and preventing the goiters among the population of the region. Iodized salt is the standard way of overcoming the problem of iodine deficiency disease. The law has to be passed that makes illegal to sell salt without iodizing it.

It is very difficult to use modern diagnostic equipment for residents of the remote rural places. To solve the problem of application modern diagnostic methods of the thyroid diseases in these settlements it is necessary to use mobile diagnostic plants and organize diagnostic laboratories there.

Providing of the rational complex treatment of the patients may be realized by means of organizing of the joint endocrine clinics where endocrine surgeons and endocrine physicians work together.

The problem, that demands urgent decision is organizing of the department for radioactive iodine treatment of the thyroid patients in North-western Russia

About the authors

S. A. Simbirtsev

Medical Academy of Postgraduate Edication

Author for correspondence.
Email: shabanov@mail.rcom.ru

член-корреспондент РАМН

Russian Federation, St. Petersburg

A. N. Bubnov

Medical Academy of Postgraduate Edication

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

Y. N. Fedotov

Medical Academy of Postgraduate Edication

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

References

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  2. Гграсимов Г. А., Акопян Т. Е., Басалисян А/ С. и др. Полное устранение дефицита йода в питании населения Армении путем всеобщего йодирования пищевой поваренной соли // Клин, и экспер. тиреология. 2006. № 3. С. 51-56.
  3. Хмельницкий О. К. Патология щитовидной железы у жителей Санкт-Петербурга // Материалы XI (13) Российского симпозиума с международным участием по хирургической эндокринологии. СПб., 2003. С.186-190.
  4. Assesment of Iodine Deficiency Disorders and Monitoring Their Elimination. A guide for programme managers // World Health Organisation. 2001.
  5. Nikiforova M. N., Kimura E. T., Gandhi M. BRAF Mutations in Thyroid Are Restricted to Papillary Carcinomas and Anaplastic or Poorly Differentiated Carcinomas Arising from Papillary Carcinomas // J. Clin. Endocrinol. Metab. 2003. Vol. 88. P. 5399-5404.
  6. Wiseman S. M., Loree T. M., Hicks W. L. et al. Anaplastic Thyroid Cancer Evolved From Papi liar Carcinoma //Arch. Otolaringol. Head Neck Surg. 2003. Vol. 196. P. 96-100.

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