老年甲状腺癌31例诊治分析

Diagnosis and treatment of 31 aged patients with thyroid carcinoma

目的 探讨老年甲状腺癌的临床诊断、病理特点和治疗方法。方法 回顾性分析31例老年甲状腺癌患者的临床资料。结果 老年甲状腺癌发病率占同期甲状腺癌的17．3％，其病程较长，就诊时间晚，肿瘤体积大，病理类型中以滤泡状癌、未分化癌常见。治疗以外科手术为主，1年生存率79％，3年生存率63％。结论 老年甲状腺癌发现晚而延误诊治，且恶性程度高，预后差。尽早手术是治疗老年甲状腺癌的关键。

Objective To investigate the clinical diagnosis, pathologic characteristics and prognosis. Methods The clinical data of thirty-one aged patients with thyroid carcinoma in December 1990 to December 2005 were reviewed retrospectively. Results The incidence of thyroid carcinoma in aged patients was 17.3 % in all of the thyroid carcinoma in the same period. The aged patients with thyroid carcinoma were characterized with longer clinical course, bigger neoplasm,delay of visiting a doctor. A majority of pathology was follicular carcinoma and undifferentiated carcinoma. Surgical resection was the primary therapy. Total survival rates of 1 and 3 years were 79 % and 63 %, respectively. Conclusion The aged patients with thyroid carcinoma were characterized with higher malignant degree and worse prognosis. Delayed diagnosis and treatment are common clue to perceive later. Early stage diagnosis and early stage surgical treatment are very important for the aged patients with thyroid carcinoma.