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KMID : 1202020120050020099
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Journal of Korean Thyroid Association
2012 Volume.5 No. 2 p.99 ~ p.103
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Management of Thyroid Nodules and Cancers Arising in the Elderly
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Kim Eun-Young
Choi June-Young
Lee Kyu-Eun
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Abstract
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As population is rapidly aging, thyroid nodules and cancers arising in the elderly are increasing. However, treatment strategy is not well established in the elderly. With few guidelines, it is important to identify the characteristics of thyroid nodules and cancers in the elderly. Among this population, thyroid nodules and prevalence of multinodular goiter are increasing with advanced age in both male and female. It is not clear age or multinodular goiter is associated with increased risk of malignancy. The incidence of differentiated thyroid carcinoma in the elderly is increasing, particularly in male patients. Moreover, anaplastic carcinoma is more frequent in the elderly. Prognosis is believed to be worse in the elderly. However, surgery for thyroid cancer increases the survival rate and it is safe to perform thyroid surgery in the elderly. Radical surgery is acceptable in the elderly, if their general condition permits surgery.
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KEYWORD
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Thyroid nodule, Thyroid neoplasm, Frail elderly
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