Future view of mass survey and characteristics of gastric cancer in the elderly

概要

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The purpose of this study was to investigate the characteris-tics of early gastric cancer in the elderly. From 1991 to 2000, 682 patients with early gastric cancer were treated by endo-scopic mucosal resection (EMR) or surgery at our hospital. We divided the patients into three groups (adult below 65 years old, elderly, and very elderly), and compared the resultsretrospectively.<BR>In elderly patients, there was an increase of well differentia-ted adenocarcinoma and a decrease of IIc tumors. The tumor size, depth, ly, and v were all more advanced than in the young patients. Elderly patients tend to be diagnosed in clinics or hospitals rather than by health screening. Our study sugges-ted that it is difficult to detect early gastric cancer in elderly people on the basis of current health surveillance programs.<BR>Many patients visited clinics or hospitals with other complai-nts, and early gastric cancer was detected in some of them.<BR>It is important to determine how to select patients by initial screening and how to shift the method of health surveillance from radiographic examination to endoscopic examination. Detailed health assessment may become important to perfor-m when a new elderly patient presents to a clinic.
一般社団法人日本消化器がん検診学会の論文