Indications for thyroid cancer surgery in elderly patients.

Abstract:

PURPOSE:To define the indications for thyroid cancer surgery in elderly patients. METHODS:We compared the clinical characteristics of thyroid cancers in 85 elderly patients, defined as those aged > or =75 years, with those of 37 young patients, defined as those aged <30 years. The elderly group included patients who underwent surgery and/or reoperation and those managed nonoperatively. All patients were treated during an 11-year period from 1994 to 2004 at the Cancer Institute Hospital. RESULTS:The elderly patients with papillary thyroid carcinoma had a significantly worse cumulative 5-year survival rate than the young patients with papillary thyroid carcinoma (92% vs 100%: P = 0.03). However, there was no significant difference in the survival of patients with low-risk tumors between the two age groups. The cumulative 2-year survival rate of elderly patients with a high-risk tumor was significantly lower in patients not treated with surgery than in those treated surgically (80% vs 100%: P = 0.02). Quality of life (QOL) was severely impaired in 67% and 6% of the nonoperated and operated patients, respectively. CONCLUSIONS:These results suggest that surgery for thyroid cancer increases the survival rate and promotes the QOL of elderly patients if they are well enough to tolerate the procedure.

journal_name

Surg Today

journal_title

Surgery today

authors

Matsuyama H,Sugitani I,Fujimoto Y,Kawabata K

doi

10.1007/s00595-008-3951-z

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

652-7

issue

8

eissn

0941-1291

issn

1436-2813

journal_volume

39

pub_type

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