Diagnostics of Thyroid Malignancy and Indications for Surgery in the Elderly and Younger Counterparts: Comparison of 3,749 Patients
Joint Authors
Kaliszewski, Krzysztof
Strutyńska-Karpińska, Marta
Wojtczak, Beata
Aporowicz, Michał
Forkasiewicz, Zdzisław
Balcerzak, Waldemar
Łukieńczuk, Tadeusz
Domosławski, Paweł
Diakowska, Dorota
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-16
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
It seems valuable for clinicians to know if diagnostics of thyroid malignancy (TM) and indications for surgery in the elderly patients differ from these in younger counterparts.
Materials and Methods.
Retrospective analysis of the medical records of 3,749 patients surgically treated for thyroid tumor.
Data of patients with histopathology confirmed TM (n=309) were studied.
Results.
The rate of cytological prediction to malignancy was more than three times higher in elderly women.
Compression was a main reason for surgery in the elderly (p<0.0001).
The final diagnosis of malignancy was significantly higher in older women (p=0.002).
Clinical suspicion of malignancy was positively correlated with histopathological diagnosis in total group of women (r=0.543, p<0.001) and total group of men (r=0.560, p<0.001).
The subgroup of the eldest TM patients included a significantly higher number of subjects with advanced cancer and primary tumor progression (p<0.0001).
Distant metastases were significantly more presented among the elderly patients (p=0.032).
Conclusions.
The rate of cytological prediction to malignancy in elderly women is high.
Tracheal compression is a common surgical indication in the elderly patients.
The final diagnoses of malignancy predominate in elderly women.
The oldest TM patients present a higher number of advanced thyroid tumors and distant metastases.
American Psychological Association (APA)
Kaliszewski, Krzysztof& Diakowska, Dorota& Strutyńska-Karpińska, Marta& Wojtczak, Beata& Aporowicz, Michał& Forkasiewicz, Zdzisław…[et al.]. 2017. Diagnostics of Thyroid Malignancy and Indications for Surgery in the Elderly and Younger Counterparts: Comparison of 3,749 Patients. BioMed Research International،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1133586
Modern Language Association (MLA)
Kaliszewski, Krzysztof…[et al.]. Diagnostics of Thyroid Malignancy and Indications for Surgery in the Elderly and Younger Counterparts: Comparison of 3,749 Patients. BioMed Research International No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1133586
American Medical Association (AMA)
Kaliszewski, Krzysztof& Diakowska, Dorota& Strutyńska-Karpińska, Marta& Wojtczak, Beata& Aporowicz, Michał& Forkasiewicz, Zdzisław…[et al.]. Diagnostics of Thyroid Malignancy and Indications for Surgery in the Elderly and Younger Counterparts: Comparison of 3,749 Patients. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1133586
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133586