[Clinical analysis of 38 elderly patients with early double primary cancers].
OBJECTIVE
To study the clinical features and proper treatment of 38 elderly patients with early double primary cancers.


METHODS
Thirty-eight elderly patients with early double primary cancers treated from January 1980 to March 2003 were retrospectively reviewed for involved organs, treatment and prognosis.


RESULTS
Digestive tract was the most frequently involved, followed by urogenital system and lung. Long-term results of endoscopic mucosal resection (EMR), operation and radiotherapy were superior to other methods. The prognosis of gastrointestinal carcinoma was better than that of prostate carcinoma and hematopoietic system. The operation rate decreased with increasing age. The 5-year survival rates of EMR, operation and radiotherapy were 85.7%, 71.1% and 75.0%, respectively. The medium survival time was 120 months in first cancer and 39 months in the second primary cancer. The 5-year survival rates of the first cancer and second primary cancer were 88.6% and 53.8%.


CONCLUSIONS
Yearly follow-up for elderly patients with endoscopy, beta ultrasonic scan and X-ray contribute to finding of early double primary cancers. Operation is the best treatment of early double primary cancers. Endoscopic mucosal resection is especially suitable for old patients with digestive tract and bladder cancer.
Cai
Chang-hao
CH
Department of Gastroenterology, General Hospital PLA, Beijing 100853, China. chchai@sina.com
Wu
Ben-yan
BY
Wu
Dao-hong
DH
Shao
Yong
Y
Wang
Meng-wei
MW
D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000532:radiotherapy / Q000601:surgery; D016145:Endoscopy, Digestive System; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000532:radiotherapy / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary; D011471:Prostatic Neoplasms / Q000532:radiotherapy / Q000601:surgery; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000532:radiotherapy / Q000601:surgery; D015996:Survival Rate