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A retrospective study of the treatment for 22 geriatric patients (over 85 years old, 16 females, 6 males) with oral cancer was made, and the following results were obtained: <BR>1) The primary sites were the upper or lower gingiva in ten cases, and the tongue in nine cases.<BR>2) Twelve patients were in stage I-II, and ten were in stage III-IV. The histologic type wassquamous cell carcinoma in twenty patients and carcinoma originating from the salivary gland in two.<BR>3) Fourteen patients had some general diseases, including heart disease (7 cases) dementia (5), and cerebral infarction (3).<BR>4) Sixteen patients underwent surgery. Neck dissection was done in 6 cases and reconstructive surgery using myocutaneous pedicle flap in 3. Two patients could not undergo surgery because of locally advanced tumor, and the remaining four were complicated by dementia.<BR>5) There was no treatment-related death or severe complication in the 16 patients who underwent surgery.<BR>6) The sixteen patients who underwent surgery were cured of their tumor, but the six patients who did not undergo surgery could not obtain local or regional cure.<BR>7) The three-year overall cumulative survival rate was 74. 8% in all patients, and 84. 4% inthe 16 patients who underwent surgery.<BR>8) These results suggest that surgery is the optimal treatment method for geriatric patients over 85 years, when their general condition is tolerant of surgical stress.
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