Surgical treatment of thyroid diseases in elderly patients

Marco Raffaelli; Rocco Domenico Alfonso Bellantone; Pietro Princi; Carmela De Crea; Esther Rossi; Guido Fadda; Celestino Pio Lombardi

Surgical treatment of thyroid diseases in elderly patients

Marco Raffaelli, Rocco Domenico Alfonso Bellantone, Pietro Princi, Carmela De Crea, Esther Rossi, Guido Fadda, Celestino Pio Lombardi

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32 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	467-472
Number of pages	6
Journal	THE AMERICAN JOURNAL OF SURGERY
Volume	200
Publication status	Published - 2010

Keywords

THYROID
THYROID DISEASES

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Cite this

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title = "Surgical treatment of thyroid diseases in elderly patients",

abstract = "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.",

keywords = "THYROID, THYROID DISEASES, THYROID, THYROID DISEASES",

author = "Marco Raffaelli and Bellantone, {Rocco Domenico Alfonso} and Pietro Princi and {De Crea}, Carmela and Esther Rossi and Guido Fadda and Lombardi, {Celestino Pio}",

year = "2010",

language = "English",

volume = "200",

pages = "467--472",

journal = "THE AMERICAN JOURNAL OF SURGERY",

issn = "0002-9610",

publisher = "Excerpta Medica / US:PO Box 3085:Princeton, NJ 08543:(908)874-8550, Fax: (908)874-5611",

}

TY - JOUR

T1 - Surgical treatment of thyroid diseases in elderly patients

AU - Raffaelli, Marco

AU - Bellantone, Rocco Domenico Alfonso

AU - Princi, Pietro

AU - De Crea, Carmela

AU - Rossi, Esther

AU - Fadda, Guido

AU - Lombardi, Celestino Pio

PY - 2010

Y1 - 2010

N2 - 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.

AB - 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.

KW - THYROID

KW - THYROID DISEASES

KW - THYROID

KW - THYROID DISEASES

UR - http://hdl.handle.net/10807/12765

M3 - Article

SN - 0002-9610

VL - 200

SP - 467

EP - 472

JO - THE AMERICAN JOURNAL OF SURGERY

JF - THE AMERICAN JOURNAL OF SURGERY

ER -

Surgical treatment of thyroid diseases in elderly patients

Abstract

Keywords

UN SDGs

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