To analyze the clinical characteristics of elderly patients with papillary thyroid carcinoma
10.3760/cma.j.issn.0254-9026.2023.04.012
- VernacularTitle:老年甲状腺乳头状癌患者临床特点分析
- Author:
Xuhuizi GUAN
1
;
Tian YU
;
Feiliang WANG
;
Yunzhe DOU
;
Jiankun LI
;
Dongdong WANG
;
An YAN
;
Yao LI
;
Gang MIAO
Author Information
1. 北京医院国家卫生健康委北京老年医学研究所 国家卫生健康委老年医学重点实验室 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Keywords:
Thyroid neoplasms;
Carcinoma, papillary;
Clinical characteristics
- From:
Chinese Journal of Geriatrics
2023;42(4):440-445
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical characteristics of elderly patients with papillary thyroid cancer(PTC)by age grouping.Methods:The patients were divided into three groups according to age at diagnosis: old(≥60 years, 90 cases), middle(40-59 years, 359 cases)and young patients(<40 years, 203 cases). The clinical data of 652 patients with PTC who were admitted to the Department of Thyroid Surgery of Beijing Hospital from December 2019 to December 2021 were retrospectively analyzed.The patients were divided into elderly group(≥60 years old, 90 cases), middle-aged group(40-59 years old, 359 cases)and young group(<40 years old, 203 cases). The clinical characteristics, ultrasound characteristics and invasion-related factors of patients in different groups were analyzed by statistical methods.Results:Compared with the young and middle-aged group, the elderly patients with PTC had a higher proportion of microcarcinoma(75.6%, 75.2%, 61.4%, χ2=13.054, P=0.001), less cervical lymph node metastasis(24.4%, 34.3%, 58.1%, χ2=41.650, P<0.001), and lower proportion of metastatic lymph nodes(0.08, 0.14, 0.24, χ2=40.618, P<0.001). There was no significant difference in tumor location and extra glandular invasion among the three age groups(35.56%, 36.2%, 38.4%, χ2=0.959, P=0.545). Conclusions:Compared with the young and middle-aged groups, PTC showed low invasiveness in the elderly population.In addition to surgical treatment, for elderly patients with low-risk clinical characteristics, it is worth performing a further study on whether careful observation or palliative treatment can be selected after comprehensive evaluation.
