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65세 이상 고연령층에 있어서 대장 및직장암의 임상적 특성

A Clinical Study of Colorectal Cancer in Patients More Than 65 Years Old

대한대장항문학회지 1997년 13권 2호 p.191 ~ 201
박병선 ( Park Byung-Seon ) - 순천향대학교 의과대학 외과학교실

백무준 ( Baek Moo-Jun ) - 순천향대학교 의과대학 외과학교실
이문수 ( Lee Moon-Soo ) - 순천향대학교 의과대학 외과학교실
송옥평 ( Song Ok-Pyung ) - 순천향대학교 의과대학 외과학교실

Abstract


This report is a retrospective clinical analysis fo 84 cases more than 65 years of colorectal carcinoma treated surgically by the Department of General Surgery, College of Medicine, Soon Chun Hyang University from January 1991 to December 1995. The average age was 71.3 years; 49 patients were male and 35 were female. Tumor location was as follows; rectum 39(46.4%), sigmoid 22(26.2), ascending colon 12(14.3%), descending colon 8(9.5%), transverse colon 3(3.6%). The most frequent symptom in colorectal cancer was abdominal pain. The patients whose clinical symptom had been for
less than 1 month before the hospitalization was about 31.0%. The rate of curative resection was 88.1%, Emergency operation was performed about 19.0%(16 cases). By Astler- Coller classification, there were stage A 2 cases(2.5%), Bl 13 cases(16.5%), B2 28 cases(35.4%), Cl 2 cases(2.5%), C2 24 cases(30.4%), D 10 cases(12.7%). The average size of mass was 4.41 on. The most common pathologic type was moderately differentiated adenocarcinoma. Postoperative mortality rate was 4.7%(4 cases). The 5 year cumulative survival rate was 42.9%. In conclusion, the postoperative mortality and survival rates obtained in this study encourage us not to consider age as a limiting factor for curative surgical treatment.
Early detection of colorectal cancer, adequate management of preoperative underlying disease and aggresive curative resection are improving outcome in the surgery of old aged patients with colorectal cancer.

키워드

Colorectal Neoplasms
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