老年人肿瘤512例临床概况分析

Clinical analysis on elderly patients with cancer: report of 512 cases

摘要:

目的 分析＞65岁老年人肿瘤发病及临床特点，为其综合治疗提供科学依据。方法 统计2007年8月1日至2013年3月31日解放军第306医院肿瘤科收治的＞65岁肿瘤患者，从中随机抽取512份完整病例进行回顾性分析。结果 512例＞65岁肿瘤发病率前3位依次为肺癌、结直肠癌、头颈部癌。伴发症依次为贫血、高血压及肺部感染。转移部位最多的是骨转移，其次为肝转移，肺转移。512例老年肿瘤患者中，接受姑息治疗的112例，接受手术＋化疗的84例，接受手术＋化疗＋放疗的81例。结论 老年肿瘤患者易伴发多种疾病，应该进行治疗前评估，以获取最好的治疗效果，提高患者生活质量。姑息治疗在老年肿瘤治疗中占重要地位。

Abstract:

Objective To analyze the morbidity and clinical features of the elderly patients with cancer in order to provide a scientific basis for their comprehensive treatment. Methods A total of 512 patients with age over 65 years randomly selected from all senile cancer patients admitted in our department from August 2007 to March 2013 were recruited and retrospectively analyzed in this study. Results The top 3 tumors of the highest incidence in this cohort were lung cancer, colorectal cancer and head-neck cancer. The comorbidities were anemia, hypertension and pulmonary infection in order. The sites of metastatic lesions were common in the bone, then followed by the liver and lungs. Among them, 112 patients received palliative treatment, 84 patients received surgery and chemotherapy, and 81 patients received surgery, chemotherapy and radiotherapy. Conclusion Since the elderly cancer patients usually have various comorbidities, good evaluation should be made before treatment to acquire the best therapeutic effect and to improve the quality of life. The palliative therapy plays important role in the treatment of the elderly patients with cancer.