Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Safety of Thyroidectomy in Thyroid Cancer Patients Older than 75 Years

고령 갑상선암 환자의 갑상선 절제술의 안정성

  • Yang, Seung Yoon (Thyroid Cancer Center, Gangnam Severance Hospital, Department of Surgery, Yonsei University College of Medicine) ;
  • Kim, Seok-Mo (Thyroid Cancer Center, Gangnam Severance Hospital, Department of Surgery, Yonsei University College of Medicine) ;
  • Kim, Soo Young (Thyroid Cancer Center, Gangnam Severance Hospital, Department of Surgery, Yonsei University College of Medicine) ;
  • Kim, Bup-Woo (Thyroid Cancer Center, Gangnam Severance Hospital, Department of Surgery, Yonsei University College of Medicine) ;
  • Lee, Yong Sang (Thyroid Cancer Center, Gangnam Severance Hospital, Department of Surgery, Yonsei University College of Medicine) ;
  • Park, Cheong Soo (Thyroid Cancer Center, Gangnam Severance Hospital, Department of Surgery, Yonsei University College of Medicine) ;
  • Chang, Hang-Seok (Thyroid Cancer Center, Gangnam Severance Hospital, Department of Surgery, Yonsei University College of Medicine)
  • 양승윤 (연세대학교 의과대학 외과학교실, 강남세브란스 병원 갑상선암센터) ;
  • 김석모 (연세대학교 의과대학 외과학교실, 강남세브란스 병원 갑상선암센터) ;
  • 김수영 (연세대학교 의과대학 외과학교실, 강남세브란스 병원 갑상선암센터) ;
  • 김법우 (연세대학교 의과대학 외과학교실, 강남세브란스 병원 갑상선암센터) ;
  • 이용상 (연세대학교 의과대학 외과학교실, 강남세브란스 병원 갑상선암센터) ;
  • 박정수 (연세대학교 의과대학 외과학교실, 강남세브란스 병원 갑상선암센터) ;
  • 장항석 (연세대학교 의과대학 외과학교실, 강남세브란스 병원 갑상선암센터)
  • Received : 2016.10.08
  • Accepted : 2016.11.07
  • Published : 2016.11.30
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Abstract

Background and Objectives: The aim of this study was to evaluate the safety and the feasibility of thyroidectomy for aged (${\geq}75$ years old) thyroid cancer by reviewing postoperative morbidity and pathologic characteristics. Materials & Methods: The clinical records of patients submitted to thyroid operation between 2014 and 2015 with histopathological diagnosis of thyroid cancer were analyzed. Clinical variables included age, gender, preoperative symptom, final pathology, length of stay, comorbidities, American Society of Anesthesiologists score, postoperative complications, and mortality. Results: There were 30 patients aged more than 75 years old, and only one patient passed over with postoperative pneumonia. There were 8 male and 22 female patients. Half of the patients presented with symptoms such as palpable mass (33.3%), voice change (6.7%) and dyspnea (6.7%). The pathologic diagnosis was thyroid cancer in all cases. The median postoperative hospitalization time was 4 days. There was one perioperative mortality case observed in this study. Conclusion: Thyroid surgery in patients 75 years or older can be performed except extensive surgical resection. Aggressive histology and extent of surgery may be an important factor of perioperative mortality and morbidity.

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