Clinicopathologic characteristics of serosa-positive gastric carcinoma in elderly patients.
10.4174/jkss.2011.81.1.19
- Author:
Ho Gun KIM
1
;
Hyo KANG
;
Dong Yi KIM
;
Jae Kyoon JOO
;
Seong Yeob RYU
;
Jae Hyuk LEE
Author Information
1. Division of Gastroenterologic Surgery, Department of Surgery, Chonnam National University Medical School, Gwangju, Korea. dockim@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Gastric carcinoma;
Serosal invasion;
Elderly;
Prognosis;
Age
- MeSH:
Aged;
Hospital Records;
Humans;
Multivariate Analysis;
Prognosis;
Retrospective Studies;
Survival Rate
- From:Journal of the Korean Surgical Society
2011;81(1):19-24
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The relationship between the prognosis and the age of patients with gastric carcinoma is controversial. This study examined the clinicopathologic features of elderly gastric carcinoma patients with serosal invasion. METHODS: We reviewed the hospital records of 136 elderly gastric carcinoma patients with serosal invasion retrospectively to compare the clinicopathologic findings in the elderly (aged > 70 years) and young (aged < 36 years). RESULTS: The 5-year survival rates of elderly and young patients with curative resection did not differ statistically (33.9% vs. 43.3%; P = 0.318). Multivariate analysis showed that two factors were independent, statistically significant parameters associated with survival: histologic type (risk ratio, 1.805; 95% confidence interval [CI], 1.041 to 3.132; P < 0.05) and operative curability (risk ratio, 2.506; 95% CI, 1.371 to 4.581; P < 0.01). CONCLUSION: This study demonstrated that elderly gastric carcinoma patients with serosal invasion do not have a worse prognosis than young patients. The important prognostic factor was whether the patients underwent curative resection.
