Document Detail


Surgical treatment of thyroid diseases in elderly patients.
MedLine Citation:
PMID:  20887839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We evaluated the safety of thyroid surgery in elderly patients, in whom surgical procedures usually are considered more hazardous than in younger patients. METHODS: The medical records of all the patients who were aged 70 years or older who had undergone thyroid surgery between January 1998 and June 2008 were reviewed. RESULTS: A total of 320 patients were included. The preoperative diagnosis was multinodular goiter in 171 cases, toxic goiter in 59 cases, suspicious or indeterminate thyroid nodule in 60 cases, and thyroid carcinoma in 30 patients. Total thyroidectomy was performed in 283 patients, thyroid lobectomy in 15 patients, and a completion thyroidectomy was performed in 22 patients. The final histology showed thyroid cancer in 86 patients and benign disease in 234. CONCLUSIONS: Thyroid surgery in patients aged 70 years or older is safe and the relatively high rate of thyroid carcinoma and toxic goiter may justify an aggressive approach.
Authors:
Marco Raffaelli; Rocco Bellantone; Pietro Princi; Carmela De Crea; Esther D Rossi; Guido Fadda; Celestino P Lombardi
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  200     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2010-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  467-72     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Affiliation:
Division of Endocrine Surgery-Department of Surgery, Università Cattolica del Sacro Cuore, L. go A. Gemelli 8, 00168 Rome, Italy. marcoraffaelli@rm.unicatt.it
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Biopsy, Fine-Needle
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Italy / epidemiology
Male
Retrospective Studies
Risk Factors
Severity of Illness Index
Survival Rate / trends
Thyroid Diseases / diagnosis,  mortality,  surgery*
Thyroidectomy / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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