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  1. Strategy of gastric cancer in patients 85 years old and older.

    Article - En anglais

    BACKGROUND/AIMS 

    There is little information about the clinical and pathological features of patients with gastric cancer aged 85 years old and older.

    METHODOLOGY 

    We analyzed data of 197 gastric cancer patients aged 75 years and older.

    The patients were dividing into three age groups and we retrospectively studied 25 gastric cancer patients aged 85 years old and older and compared their clinical courses with those of 94 patients in their late 70s and 78 patients in their early 80s.

    RESULTS 

    The patients aged 85 years and older had a significantly higher rate of symptoms on admission such as gastric outlet obstruction and progressive anemia (64%), than did the other two age groups (p<0.05).

    Twenty-five percent of the oldest age group did not have surgery, and none had a D2 lymph node dissection.

    Perioperative complications were more frequent in the oldest group than in the youngest group (p<0.05).

    Survival in the oldest patients was not affected by surgical resection.

    CONCLUSIONS 

    These results indicate curative gastric surgery has a less positive impact in patients aged 85 years and older than younger patients.

    Treatment for gastric cancer in patients 85 years old and older should emphasize the palliation of symptoms but not curative resection.

    Mots-clés Pascal : Carcinome, Estomac, Epidémiologie, Chirurgie, Complication, Age 80-89, Personne âgée, Homme, Etude comparative, Stratégie, Evaluation, Japon, Asie, Tumeur maligne, Appareil digestif pathologie, Estomac pathologie, Statistique

    Mots-clés Pascal anglais : Carcinoma, Stomach, Epidemiology, Surgery, Complication, Age 80-89, Elderly, Human, Comparative study, Strategy, Evaluation, Japan, Asia, Malignant tumor, Digestive diseases, Gastric disease, Statistics

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0444066

    Code Inist : 002B13B01. Création : 22/03/2000.