A Clinicopathological Study on the Gastric Cancer in Elderly Age Tamon Miyanaga 1 , Yasuharu Kaizaki 2 , Yoshihide Asaumi 1 , Yoji Nishida 1 , Yasumitsu Hirano 1 , Kazuya Maeda 1 , Kouji Ota 1 , Kenji Douden 1 , Masakazu Hattori 1 , Yasuo Hashizume 1 , Hiroyuki Aoyagi 3 , Naoyuki Ibe 3 , Osamu Hosokawa 4 1Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan 2Department of Pathology, Fukui Prefectural Hospital, Fukui, Japan 3Department of Internal Medicine, Fukui Prefectural Hospital, Fukui, Japan 4Department of Surgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan Keyword: 胃癌 , 高齢者 , 予後 , 診断 , 治療 pp.1769-1779
Published Date 2012/11/25
DOI https://doi.org/10.11477/mf.1403113643
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 Among 1,859 patients who were admitted for gastric cancer to Fukui Prefectural Hospital between 1998 and 2007, 501(26.9%)were aged 75years or more. Of these elderly patients, 98 did not undergo resection. Compared with a control group of patients aged 64years or less, the male elderly patients had a higher incidence of gastric cancer and a greater number from this group presented with advanced cancer : 67.7% of the control group and 51.2% of the patients aged 80 or more had early-stage cancer, with the rate decreasing to almost half of the subjects in this group. Protruding-type gastric cancer was more common in elderly patients and was more frequently observed in the lower area of the stomach. The incidence of lymph node metastasis was higher in the elderly group than in the control group but did not differ among patients who had undergone resection. In the elderly group, we observed no relationship between the treatment method and gastric cancer-related mortality or crude mortality. Because elderly patients have higher frequencies of comorbidities, double primary malignancies, and multiple cancers than younger patients, it is necessary to assess individual responses in order to select optimal treatment strategies.

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