The thyroid disease in the elderly: Our experience

被引:3
作者
Cannizzaro, Matteo Angelo [1 ]
Buffone, Antonino [1 ]
Lo Bianco, Salvatore [1 ]
Okatyeva, Valeriya [1 ]
Cavallaro, Dario [1 ]
Caruso, Valerio [1 ]
Caglia, Pietro [1 ]
机构
[1] Univ Catania, Dept Med & Surg Sci, Adv Technol GF Ingrassia, I-95124 Catania, Italy
关键词
Thyroid; Elderly; Ageing; Hypothyroidism; Hyperthyroidism; SURGICAL-TREATMENT; THYROTOXICOSIS;
D O I
10.1016/j.ijsu.2016.05.047
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: The number of elderly people in Italy is growing, so it is important to study the presentation of diseases in these subjects. Materials and methods: We selected 1362 patients who underwent thyroidectomy for different thyroid diseases from January 2008 to December 2014. The patients weredivided into two groups, according to the age. The patients aged 65 years and over were included in the group A, and the patients under the age of 65 years were included in the group B. Discussion: Thyroid diseases in the elderly often present with atypical symptoms which are very similar to symptoms of the aging process. In elderly hypothyroidism occurs frequently sub-clinically and hyperthyroidism is often presented with cardiovascular symptoms. In our study we evaluated the differences in incidence of thyroid diseases in the elderly and in the younger groups of patients. Conclusion: The data analyzed in this study showed that in the elderly we have a reduced secretion and metabolization of thyroid hormones. The symptomatology in the elderly is nonspecific and can create a delay in the correct diagnosis. (C) 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:S85 / S87
页数:3
相关论文
共 22 条
  • [1] [Anonymous], 2013, CHIR
  • [2] Age is no contraindication to thyroid surgery
    Bliss, R
    Patel, N
    Guinea, A
    Reeve, TS
    Delbridge, L
    [J]. AGE AND AGEING, 1999, 28 (04) : 363 - 366
  • [3] Costanzo M, 2008, ANN ITAL CHIR, V79, P447
  • [4] Implementation of systematic neuromonitoring training for thyroid surgery
    Dionigi G.
    Bacuzzi A.
    Barczynski M.
    Biondi A.
    Boni L.
    Chiang F.Y.
    Dralle H.
    Randolph G.W.
    Rausei S.
    Sacco R.
    Sitges-Serra A.
    [J]. Updates in Surgery, 2011, 63 (3) : 201 - 207
  • [5] Therapeutic options in the management of toxic and nontoxic nodular goiter
    Freitas, JE
    [J]. SEMINARS IN NUCLEAR MEDICINE, 2000, 30 (02) : 88 - 97
  • [6] Thyroid surgery in geriatric patients: a literature review
    Gervasi, Rita
    Orlando, Giulio
    Lerose, Maria Antonietta
    Amato, Bruno
    Docimo, Giovanni
    Zeppa, Pio
    Puzziello, Alessandro
    [J]. BMC SURGERY, 2012, 12
  • [7] Girelli M. E., 1999, Journal of Endocrinological Investigation, V22, P45
  • [8] Perioperative care in elderly patients undergoing thyroid surgery
    Guarino, Salvatore
    Di Cosimo, Carla
    Chiesa, Carlo
    Metere, Alessio
    Di Bella, Valerio
    Filippini, Angelo
    Giacomelli, Laura
    [J]. INTERNATIONAL JOURNAL OF SURGERY, 2014, 12 : S78 - S81
  • [9] Hassani S., 2009, PRINCIPLES GERIATRIC, P973
  • [10] Drug therapy - Treatment of benign nodular thyroid disease
    Hermus, AR
    Huysmans, DA
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (20) : 1438 - 1447