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KMID : 0371320110810010019
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Journal of the Korean Surgical Society
2011 Volume.81 No. 1 p.19 ~ p.24
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Clinicopathologic characteristics of serosa-positive gastric carcinoma in elderly patients
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Kim Ho-Gun
Kang Hyo
Kim Dong-Yi
Joo Jae-Kyoon
Ryu Seong-Yeob
Lee Jae-Hyuk
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Abstract
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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.
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KEYWORD
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Gastric carcinoma, Serosal invasion, Elderly, Prognosis, Age
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