Treatment results of non-small cell lung cancer in octogenerians

Tadashi Uehara, Tokujiro Yano, Hideki Yokoyama, Yasuro Fukuyama, Hiroshi Asoh, Takanori Kanematsu, Yasuhiro Terazaki, Shinji Kuninaka, Yukito Ichinose

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Abstract

Objective: In order to establish the treatment of non-small cell lung cancer in octogenarians we retrospectively reviewed our experiences. Patients: The present study included 109 patients with a mean age of 82 ranging from 80 to 94, who were treated at our institute from 1972 through 1996. There were 74 men and 35 women. Sixty-one patients had adenocarcinoma, 35 had squamous cell carcinoma and 13 had other histological types. Thirty patients had clinical stage I disease, 13 had stage II, 22 had stage IIIA, 12 had stage IIIB and 32 had stage IV. Results: In clinical stage I, 18 patients (58.1%) underwent an operation with a 5 year-survival rate of 48.6%, including two operation-related deaths. On the other hand, no patients survived 5 years after either radiation treatment (6 patients) or other treatment (6 patients). In clinical stage III, only 3 patients underwent surgical resection. Twenty patients received radiotherapy with (2 patients) or without (18 patients) chemotherapy. There were 5 treatment-related deaths (25%). Concerning other patients, 3 received chemotherapy, 2 received pleural drainage, and 6 had no other treatment. There was no significant difference in survival between the radiotherapy group and the other treatment group (MST 8M : 20M, p=0.36). In clinical stage IV, there was no significant difference in survival between the treatment group (systemic chemotherapy, radiotherapy, etc.; n = 19) and the non-treatment group (n=13). Conclusion: In clinical stage I, surgical resection is considered to be the treatment of choice while the best supportive care is so in the advanced stages.

Original languageEnglish
Pages (from-to)215-221
Number of pages7
JournalJapanese Journal of Lung Cancer
Volume38
Issue number3
DOIs
Publication statusPublished - 1998 Jun

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Keywords

  • Best supportive care
  • Non-small cell lung cancer
  • Octogenerians
  • Operation
  • Radiotherapy

ASJC Scopus subject areas

  • Oncology
  • Pulmonary and Respiratory Medicine

Cite this

Uehara, T., Yano, T., Yokoyama, H., Fukuyama, Y., Asoh, H., Kanematsu, T., Terazaki, Y., Kuninaka, S., & Ichinose, Y. (1998). Treatment results of non-small cell lung cancer in octogenerians. Japanese Journal of Lung Cancer, 38(3), 215-221. https://doi.org/10.2482/haigan.38.215