A mass screening in elderly patients with Hansen's disease-For decrease of the mortality from cancer and good quality of life.:-FOR DECREASE OF THE MORTALITY FROM CANCER AND GOOD QUALITY OF LIFE-
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概要
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In a sanatorium which specializes in treating patients with Hansen's disease, surgical diseases including cancers have increased with aging of the patients. In order to early diagnose and treat these diseases, our sanatorium has introduced endoscopic and ultrasonographic examinations since 1986, because they are reliable methods for diagnosis.The study was conducted on 350 patients. Seventy-two percent of them received an examination of the upper digestive tract. The results were as follows: Three had esophageal carcinoma, and 2 had advanced gastric carcinoma, 4 had early gastric carcinoma and 1 had gastric sarcoma. Sixty-two percent of all the patients underwent an examination of the lower digestive tract. Of these, 1 patient had advanced cancer and 9 early cancer. Ninty-two percent of all the patients had ultrasonographic examination. Of these, 2 patients had hepatic carcinoma, 1 bladder carcinoma and 1 uterine carcinoma, which were all malignant. Furthermore, esophageal varices existed in 9 patients and gallstone in 23. Most of these cases were treated by operation, or procedures under endoscopy or ultrasonography. As a result, the mortality from cancer was 50% in 1985, 45% in 1986 and 50% in 1987, but in 1988 it decreased to 14%. Since the last death from the cancer in April 1988, the mortality of zero has lasted for more than 2 years.It is concluded that early detection of cancer brings about less invasive treatment and gives good quality of life to the patients.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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