80歳以上の高齢者大腸癌の特性

概要

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Among 214 colorectal cancer patients older than 60 years who underwent a surgical procedure during 1975-1987, 19 patients (8.9%) over 80 years old were compared clinically and clinicopathologically with patients aged 60 to 79 years.<BR>In patients over 80 years old, symptoms of obstruction or abdominal mass were more frequently observed. And patients suffered from symptoms for longer than 12 months were observed more frequently, with a significant difference as compared to patients aged 60-79 years. A family history of colorectal cancer was found most frequently in patients aged 60-69 years.<BR>The rates of resection and curative resection were slightly higher in patients over 80 years old. The clinicopathological study showed no distinctive feature in patients over 80 years old, and the 5 year survival of these patients was not differ from. that of the younger patients.<BR>The incidence of perioperative complications was higher in older patients, in particular, postoperative psychological disorders were observed more frequently in patients over 80 years old with a significant difference as compared to the younger patients.<BR>These results suggested that, even in patiens over 80 years old, resection of colorectal cancer with a careful management of perioperative complications might be beneficial to better prognosis.