Clinical analysis of 215 elderly patients with cervical cancer / 中华肿瘤杂志
Chinese Journal of Oncology
; (12): 388-391, 2009.
Article
em Zh
| WPRIM
| ID: wpr-293107
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the clinical features, treatment outcomes and possible prognostic factors in elderly patients with cervical cancer.</p><p><b>METHODS</b>Clinical data of 215 elderly women (> or = 65-years-old) with cervical cancer were retrospectively analyzed. Most patients (89.3%) had advanced stage ( II b-IV) disease. Eight of the 215 patients (3.7%) underwent surgical treatment, and six of those received postoperative radiotherapy. 133 patients received radiotherapy alone, and 74 patients underwent concurrent chemotherapy and radiotherapy.</p><p><b>RESULTS</b>The median follow-up time was 48 months (range: 12-102 months). The overall 5-year survival rate was 63.7%. The 5-year survival rate for stage I, II, III, IV were 83.2%, 76.4%, 39.0% and 0, respectively. There was no significant difference in 5-year survival rate between patients treated with concurrent chemotherapy combined with radiotherapy and radiotherapy alone. In multivariate analysis, lymph node metastasis, advanced stage, non-squamous histologies and poor differentiation were all negative prognostic factors for the overall survival.</p><p><b>CONCLUSION</b>The treatment strategy for elderly cervical cancer patients should be individually planned according to the disease stage and performance status of the patients. Usually, one radical therapy modality can be chosen, and combined modality therapy is not suggested.</p>
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Índice:
WPRIM
Assunto principal:
Patologia
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Radioterapia
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Cirurgia Geral
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Carcinoma de Células Escamosas
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Adenocarcinoma
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Neoplasias do Colo do Útero
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Taxa de Sobrevida
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Estudos Retrospectivos
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Seguimentos
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Cisplatino
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
Idioma:
Zh
Revista:
Chinese Journal of Oncology
Ano de publicação:
2009
Tipo de documento:
Article