Open Access, Peer-reviewed
pISSN 2508-8149
eISSN 2508-8459
    Korean J Endocr Surg. 2016 Dec;16(4):89-93. Korean.
    Published online Dec 23, 2016.
    https://doi.org/10.16956/kjes.2016.16.4.89
    Copyright © 2016 Korean Association of Thyroid and Endocrine Surgeons; KATES. All Rights Reserved.
    Original Article

    Clinical Analysis of Elderly Thyroid Cancer Patients Following Thyroidect

    Keun Hee Lee, Hak Hoon Jun, Jong Woo Kim, Seung Ki Kim and Jin Hyung Heo1
      • Departments of Surgery, Breast and Thyroid Cancer Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
      • 1Department of Pathology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
    • Correspondence: Hak Hoon Jun. Breast and Thyroid Cancer Center, Department of Surgery, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea. Tel: +82-31-780-6257, Fax: +82-31-780-5266, Email: iamhacu@chamc.co.kr
    Received August 24, 2016; Revised October 20, 2016; Accepted November 10, 2016.

    This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    This study analyzes the clinical characteristics of thyroid cancer patients over 70 years of age following thyroidectomy. We identified the differences among previous studies and investigated the significance of thyroidectomy for elderly thyroid cancer patients.

    Methods

    Information was abstracted from the charts of fifty-six patients treated during the period of Jan. 1995 to Dec. 2015. The abstraction included gender, age, surgical method, location with size of the main lesion, extent of lymph node metastasis, pathological features, gene mutation, complication, stage and most recent visit.

    Results

    Our study showed a frequent occurrence (96.4% of the study group) of papillary thyroid cancers in elderly patients. There were three cases of postoperative complications. None had recurrence, and there was only one death due to complications of pneumonia. There were 11 advanced cases of cancer stage IV.

    Conclusion

    Previous studies show that postoperative prognosis of elderly thyroid cancer patients is favorable. Average life expectancy is rising in South Korea, and therefore, the number of elderly thyroid cancer patients is increasing. Our study is meaningful in that it confirms the results of previous studies by surveying elderly patients over a 20 year period. It is deemed necessary that thyroidectomy be performed on elderly patients.

    Keywords
    Thyroid cancer; Thyroidectomy; Elderly

    Tables

    Table 1
    Clinicopathologic data of old patients who underwent thyroidectomy (n=56)

    Table 2
    Complication rates of thyroidectomy in old patients (n=56)

    Table 3
    Comparisons of clinicopathologic characteristics & recurrence rates between the current study and previous ones

    References

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    MeSH Terms
    Aged*
    Humans
    Korea
    Life Expectancy
    Lymph Nodes
    Methods
    Neoplasm Metastasis
    Pneumonia
    Postoperative Complications
    Prognosis
    Recurrence
    Thyroid Gland*
    Thyroid Neoplasms*
    Thyroidectomy
    Metrics
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    Tables
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