高龄者大肠癌 (附36例临床分析)

THE ELDERLY PATIENTS WITH LARGE BOWEL CANCER (A CLINICAL ANALYSIS OF 36 CASES)

本文报告36例70岁以上的大肠癌的临床资料。本组女性较多、病程较长、腹泻和腹痛较为常见,更常扪及直肠或腹部肿块、晚期较多、较多合并症和伴发病。病理上腺癌最常见(93.9％),粘液腺癌极少。治疗上以切除为主。本组切除率和根治性切除率分别为56.3％和40.6％;根治切除术后5年和10年生存率分别为80％和50％。 本文还结合文献对高龄者大肠癌的临床特点和治疗进行了简要的讨论。

From April 1964 to December 1984, 1203 patients with large bowelcancer were admitted to the Affiliated Tumor Hospital, Sun Yat-sen University of Medical Sciences. 36 of them were 70 or over 70 years of age, being 2 per cent of all patients with large bowel cancer. Clinically these patients were characterized by higher percentage of female, longer duration, more diarrhea and abdominal pain, and a mass located in the rectum or in the abdomen, later stage, more complications and concurrent diseases. Pathologically abenocarcinoma was toe commonest type(93.9%) and mucous adenocarcinoma was rare. Resection was the primary method of treatment. In this group, the resectability rate was 56.3% and the curative resectability rate was 40.6% .The 5-and 10-year survival rate after radical resection were 80% and 50%, respectively.A brief discussbn on clinical features and treatment for the elderly patients with large bowel cancer was made with review of literatures.