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[Thyroid pathology in the aged].

A Pannella1, G Ragaglia, F Laboranti

  • 1Dipartimento di Chirurgia, Università degli Studi di Pavia.

Minerva Chirurgica
|October 31, 1992
PubMed
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Thyroid diseases in older adults are significant due to atrophic changes and vague symptoms. Surgical intervention is recommended for geriatric patients with thyroid conditions to improve life expectancy and manage compressive symptoms.

Area of Science:

  • Geriatric Medicine
  • Endocrinology
  • Surgical Pathology

Background:

  • Thyroid pathologies are common in the elderly.
  • Age-related glandular atrophy can mask or alter disease presentation.
  • Geriatric patients often exhibit imprecise symptoms for thyroid conditions.

Purpose of the Study:

  • To analyze thyroid pathologies in patients over 65 years old.
  • To compare benign and malignant thyroid diseases in the elderly.
  • To evaluate surgical outcomes for geriatric thyroid patients.

Main Methods:

  • Retrospective review of patients aged over 65 with thyroid pathologies.
  • Inclusion criteria: admission between 1974-1990 at the University of Pavia.
  • Data collected: pathology type, associated conditions, surgical procedures, tumor histology, and metastasis.

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Main Results:

  • Thyroid pathologies in geriatric patients require careful consideration due to potential for delayed diagnosis.
  • Surgical intervention in elderly patients with thyroid masses, especially those causing compression, yields positive outcomes.
  • Comparison with existing literature highlights the importance of managing these conditions in older populations.

Conclusions:

  • Thyroid diseases in the geriatric population are clinically significant and often present with subtle or atypical symptoms.
  • Surgical management of thyroid pathologies in patients over 65 is beneficial, offering improved life expectancy and symptom relief.
  • Early diagnosis and intervention are crucial for managing thyroid conditions in the elderly, despite age-related physiological changes.