Pre-operation assessment and treatment in an elderly patient with primary dual cancers
10.3760/cma.j.issn.0254-9026.2013.04.029
- VernacularTitle:原发性双癌老年患者手术前评估及处理
- Author:
Lin KANG
;
Yan CHENG
;
Xiaohong LIU
- Publication Type:Journal Article
- Keywords:
Kidney neoplasms;
Liver neoplasms;
Risk assessment
- From:
Chinese Journal of Geriatrics
2013;(4):456-458
- CountryChina
- Language:Chinese
-
Abstract:
A 64-year old man was admitted on July 2011 with masses both in liver and right kidney.After PET-CT and blood test examination,dual primary advanced cancers were speculated to be co-existed in this patient,which having poor prognosis.By evaluation with comprehensive geriatric assessment,the patient also had hypertension,diabetes and atherosclerosis,liver and renal insufficiency.After multidisciplinary consultation and detailed discussion with the patient,the decision of no surgery and just keep the follow-up was made.The patient has been followed up for 18 months and the functional evaluation is the same as before.It is very important to evaluate the risk/benefit equation and improve the standard of care,and make the decision as patient centered rather than disease-centered in the elderly patients.
