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BioMed Research International
Volume 2017, Article ID 1012451, 8 pages
https://doi.org/10.1155/2017/1012451
Research Article

Diagnostics of Thyroid Malignancy and Indications for Surgery in the Elderly and Younger Counterparts: Comparison of 3,749 Patients

11st Department and Clinic of General, Gastroenterological and Endocrine Surgery, Wroclaw Medical University, Wroclaw, Poland
2Department of Nervous System Diseases, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland
3Department and Clinic of Gastrointestinal and General Surgery, Wroclaw Medical University, Wroclaw, Poland

Correspondence should be addressed to Krzysztof Kaliszewski; lp.pw@ilakfotzsyzrk

Received 15 July 2017; Accepted 11 September 2017; Published 16 October 2017

Academic Editor: Ugur Selek

Copyright © 2017 Krzysztof Kaliszewski et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. It seems valuable for clinicians to know if diagnostics of thyroid malignancy (TM) and indications for surgery in the elderly patients differ from these in younger counterparts. Materials and Methods. Retrospective analysis of the medical records of 3,749 patients surgically treated for thyroid tumor. Data of patients with histopathology confirmed TM () were studied. Results. The rate of cytological prediction to malignancy was more than three times higher in elderly women. Compression was a main reason for surgery in the elderly (). The final diagnosis of malignancy was significantly higher in older women (). Clinical suspicion of malignancy was positively correlated with histopathological diagnosis in total group of women (, ) and total group of men (, ). The subgroup of the eldest TM patients included a significantly higher number of subjects with advanced cancer and primary tumor progression (). Distant metastases were significantly more presented among the elderly patients (). Conclusions. The rate of cytological prediction to malignancy in elderly women is high. Tracheal compression is a common surgical indication in the elderly patients. The final diagnoses of malignancy predominate in elderly women. The oldest TM patients present a higher number of advanced thyroid tumors and distant metastases.