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在甲状腺切除样本中评估的胰腺病理参数的老年学重要性:单个中心的回顾分析
Nesibe Kahraman Çetin1, Sinan Can Taşan1
1Department of Pathology, Faculty of Medicine, Aydın Adnan Menderes University, 09010 Aydın, Turkey.
Journal of personalized medicine
|January 22, 2024
概括
甲状腺切除术是治疗甲状腺疾病的老年人,特别是男性的可行治疗方法,这些男性的恶性瘤和晚期疾病的发病率较高. 这种手术对于在日益增长的老年人群中治疗甲状腺疾病至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 老年医学 老年医学
- 手术瘤学手术瘤学
背景情况:
- 全球人口老龄化在治疗甲状腺疾病方面带来了独特的挑战.
- 老年人甲状腺疾病的最佳治疗策略仍在研究中.
研究的目的:
- 评估甲状腺切除术对老年患者的影响.
- 分析影响结果的年龄,性别和组织病理学因素.
- 确定甲状腺切除术对老年人甲状腺疾病管理的重要性.
主要方法:
- 对所有年龄组的910例甲状腺切除术病例进行了回顾性分析.
- 根据美国病理学家学院的甲状腺报告癌症协议进行评估.
- 针对老年患者队列的数据分层.
主要成果:
- 甲状腺囊结节性疾病在老年患者中的良性病例中更为普遍 (p=0.033).
- 无塑性甲状腺癌在恶性组的发病率更高.
- 恶性瘤在男性中更频繁地被诊断出,与晚期PT阶段 (p<0.001),较大尺寸 (p<0.001) 和淋巴结参与 (p=0.039) 相相关.
结论:
- 甲状腺切除术是甲状腺疾病老年患者的安全有效的治疗选择.
- 老年人群中的男性具有更高的恶性甲状腺诊断风险,预后指标较差.
- 与年龄相关的甲状腺疾病发病率增加需要考虑手术干预,特别是在风险男性老年患者中.
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