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Surgical treatment of bronchogenic carcinoma in patients over the age of 80 years old


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Title: Surgical treatment of bronchogenic carcinoma in patients over the age of 80 years old
Authors: Kimino, Koji / Tagawa, Yutaka / Kawahara, Katsunobu / Uchiyama, Yoshitaka / Tomita, Masao
Issue Date: 25-Oct-1988
Citation: Acta medica Nagasakiensia. 1988, 33(1-4), p.235-239
Abstract: From 1979 to 1986, pulmonary resection for bronchogenic carcinoma were performed in twelve patients over age 80. There were ten men and twowomen. The ages of the patients were 81 in three, 82 in three, 83 in four and 84 in two. The histologic cell types were adenocarcinoma in seven patients, squamous cell carcinoma in four, and large cell carcinoma in one. Eight patients were Stage I (T1 N0 M0 4 and T2 N0 M0 4) 3 were Stage III (T2 N2 M0 2 and T3 N1 M0 1) and one was Stage VI. The operative procedures undertaken were lobectomy in 5, segmentectomy in 3 and wedge resection in 4. Mediastinal nodes dissection was performed in 6 patients. There were ten curative resection and 2 were incurative. No operative deaths occured. 6 patients had dies, 2 of their disease, 2 of gastric cancer and 2 of other disease 5-50 months after operation. 6 patients are alive and well without disease 10-54 months after surgery. The results of this report indicate that pulmonary resections can be performed safely with low mortality and longterm survival in the patients over the age of 80. Because pulmonary resection for bronchogenic carcinoma remains the only effective form of therapy, the decision on whether to perform a pulmonary resections in patients over age 80 should be based not on age but on the patient's cardiovascular status and pulmonary reserve.
URI: http://hdl.handle.net/10069/15748
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 33, No. 1-4

Citable URI : http://hdl.handle.net/10069/15748

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