J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1942KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 83(9): 1073-1076, 1982

Report on the annual meeting

OPERATION AND PROGNOSIS OF STOMACH CANCER IN THE AGED

Department of Surgery, The Center for Adult Diseases, Osaka, Japan

Hiroshi Furukawa, Takeshi Iwanaga, Kunio Hirai, Goro Tachiyama, Hiroaki Ohigashi, Yo Sasaki, Osamu Ishikawa, Toshiyuki Kabuto, Ichiro Fukuda, Yukio Matsui, Shingi Imaoka, Hiroki Koyama, Kenzo Taniguchi

Therapeutic procedures and prognosis were reviewed in 198 patients aged 70 years or older and operated on for stomach cancer during the recent 18 years and compared with those in 2,015 patients who were younger than 69 years.
In macroscopical findings, protruded early gastric cancer, Borrmann 1 and Borrmann 2 type advanced cancer were observed more frequently in the older cases (13.7% , 5.0% and 22.4%, respectively) than in the younger (6.9%, 3.0% and 16.9%, respectively). And microscopically, differentiated adenocarcinomas (pap and tub1-2) were found more frequently in the older cases (10.6% and 62.7%, respectively) than in the younger (6.9% and 54.7%, respectively).
The incidence of abnormalities found in preoperative examinations was higher (57%) in the older cases than in the younger (48%) but correlation of the abnormalties and deaths in the follow up study was not found clearly.
Postoperative five year and ten year survivals in the older cases were not so poor as compared to those in the younger and the five year survival in the older cases became better during the first, second and third 6 years of our study in this order.
It will be necessary for older patients with stomach cancer to be operated on as radically as in younger patients.

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