지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.4
- 수록면
- 211 - 218 (8page)
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초록· 키워드
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Purpose: Although the incidence of gastric cancer has declined in the general population, it is the second most frequent cause of death due to malignancy in the world with its incidence in the elderly increasing as a result of increased life expectancy. This present study tried to find the optimal treatment for patients aged 75 years or older with gastric cancer through comparison of the clinicopathological characteristics, surgical outcomes, and identifying prognostic factors of survival. Methods: Elderly patients who underwent gastric resection for gastric cancer from January, 1999 to February, 2009 (n = 470) were divided into two groups: very elderly patients, 75 years or older (n = 95), and younger elderly patients, between 65 and 74 years old (n = 365). Results: Distinct characteristics of very elderly patients included more frequent underlying disease, deeper invasion, and more frequent lymph node metastasis. There were significant differences in overall survival between the two groups at stages Ⅲ-B and Ⅳ. However, postoperative hospital stays, postoperative morbidity, mortality and early stage did not differ between curatively resected patients in the two groups. Conclusion: Due to improved postoperative care, gastrectomy of gastric cancer is the treatment of choice in very elderly patients. Therefore, early diagnosis through regular medical screening and curative gastrectomy with lymph node dissection should be performed in very elderly gastric cancer patients.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Hundahl SA / 2000 / The National Cancer Data Base Report on poor survival of U.S. gastric carcinoma patients treated with gastrectomy: Fifth Edition American Joint Committee on Cancer staging, proximal disease, and the "different disease" hypothesis / Cancer 88 : 921 ~ 932
2. [학술지(정기간행물)] - Cuschieri A / 1996 / Postoperative morbidity and mortality after D1 and D2 resections for gastric cancer: preliminary results of the MRC randomised controlled surgical trial. The Surgical Cooperative Group / Lancet 347 : 995 ~ 999
3. [학술지(정기간행물)] - DePinho RA / 2000 / The age of cancer / Nature 408 : 248 ~ 254
4. [학술지(정기간행물)] - Monson K / 2003 / Surgery in the aged population: surgical oncology / Arch Surg 138 : 1061 ~ 1067
5. [학술지(정기간행물)] - Crews DE / 2006 / Aging, disability, and frailty: implications for universal design / J Physiol Anthropol 25 : 113 ~ 118
2. [학술지(정기간행물)] - Cuschieri A / 1996 / Postoperative morbidity and mortality after D1 and D2 resections for gastric cancer: preliminary results of the MRC randomised controlled surgical trial. The Surgical Cooperative Group / Lancet 347 : 995 ~ 999
3. [학술지(정기간행물)] - DePinho RA / 2000 / The age of cancer / Nature 408 : 248 ~ 254
4. [학술지(정기간행물)] - Monson K / 2003 / Surgery in the aged population: surgical oncology / Arch Surg 138 : 1061 ~ 1067
5. [학술지(정기간행물)] - Crews DE / 2006 / Aging, disability, and frailty: implications for universal design / J Physiol Anthropol 25 : 113 ~ 118
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UCI(KEPA) : I410-ECN-0101-2013-514-002677138