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Vol.41 No.4 contents | Japanese/English |
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- Original Article -
Brochogenic Carcinoma in Patients Over 80 Years
Hitoshi Ueda, Kan Okabayashi, Kaoru Onndo and Akira MotohiroDepartment of Surgery, National Minamifukuoka Chest Hospital
Objective and Methods: To elucidate the characteristics of the patients with primary bronchogenic carcinoma aged 80 years old or more, we analyzed our 89 cases compared with 796 cases less than 80 years. Retrospectively, the various prognostic factors of bronchogenic carcinoma were extracted from medical records and were analyzed using univariate and multivariate survival analysis. Results: Among 89 patients, 40 patents received only supportive care. In particular, they included 4 patients who had stage I disease with a performance status of 0 or 1. Using the Cox proportional hazard model, it was found that performance status, clinical stage and performing operation were significant prognostic factors as observed in the patients less than 80 years old. Neither radiotherapy nor chemotherapy was a potent prognostic factor. Fifty-nine among 61 fatalities died of lung cancer. Although 13 of 17 patients who underwent surgery had the incomplete lymph node dissection, the survival curve of operated cases was almost same as that of those less than 80 years. Conclusion: Stage I patients with good performance status should be given surgery including limited operation.
key words: Aged patient, Lung cancer, Long-term prognosis
Received: March 9, 2001
Accepted: June 27, 2001
JJLC 41 (4): 313-317, 2001
