Treatment and Prognosis in Elderly Patients with Gastric Cancer as Compared with Young Patients

We investigated the prognosis of 18 elderly patients with gastric cancer (aged group) in which total or partial gastrectomy was performed betwen January, 1979 and December, 1989. The elderly patients were ranged from 80 to 86 year-old (mean age, 81.7 years). As a control, eighteen younger patients (young group) were ranged from 46 to 75-year-old (mean age, 61.9 years). Comparison of baseline variable, including follow-up range, site of gastric cancer, operative method and the degree of the gastric cancer, was closely matched between both groups. The degree of the lymphnodes cleaning was R_0 in 3, R_1 in 4 and R_2 in 11 patients in the aged group, while R_0 in 1 and R_2 in 17 patients in the young group. Incidence of patients with postoperative chemotherapy was 44.4% (8/18) in the aged group and 77.8% (14/18) in the young group. The five-year survival rate was 30.5% in the aged group and 60.8% in the young group, without significant difference. It is concluded that affressive lymphnodes cleaning and postoperative chemotherapy are necessary for elderly patients even though patients are aged.

高齢者胃癌

ケースコントロールスタディ