title: [The clinical status of prostate cancer in elderly patients 75 years of age or older in the Kitamurayama District of Yamagata Prefecture, Japan].
abstract: To evaluate the present status of prostate cancer in patients 75 years of age or older, we reviewed clinical characteristics of prostate cancer in patients from the Kitamurayama Hospital. The number of symptomatic advanced cases was greater in patients > or = 75 years old compared with patients < or = 74 years old. However, no significant difference in cause-specific survival rate was found between the two groups. In the cases examined, the difference in biological characteristics between groups did not affect the prognosis. On the other hand, for patients > or = 75 years old, improvement of urinary retention was low, and the incidence of adverse drug responses to endocrine therapy, such as dementia and thrombosis, was high. We recognize the necessity of a comprehensive medical plan that attaches importance to quality of life and safety for the treatment of patients over 75 years old with prostate cancer.
authors.affiliation: Department of Urology, Kitamurayama Hospital.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Nemoto
authors.forename: Yuji
authors.initials: Y
authors.lastname: Tomita
authors.forename: Ryoji
authors.initials: R
authors.lastname: Kimata
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D011471:Prostatic Neoplasms / Q000401:mortality / Q000503:physiopathology* / Q000628:therapy