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Outcomes of patients older than 75 years with Non-metastatic prostate cancer

Asian Journal of Urology 2017年第2期4卷 102-106页

作者： Yoshiyasu Amiya Yasutaka Yamada Masahiro Sugiura Makoto Sasaki Takayuki Shima Noriyuki Suzuki Hiroomi Nakatsu Shino Murakami Jun Shimazaki Department of Urology Asahi General HospitalAsahiJapan Department of Urology Graduate School of MedicineChiba UniversityChibaJapan

Objective:prostate cancer in elderly patients was formerly treated with androgen deprivation therapy.Since the latter of the 1990s new technologies were introduced into treatments,then strategies have varied.We aimed to observe the outcomes of elderly patients treated during transition period and compare each stage with others.Methods:During 2008 and 2010,255 patients with prostate cancer older than 75 years were sequentially treated.With exception of patients with bone and/or visceral metastasis,outcomes of 199 patients with localized and locally advanced stages were examined.Complete records were obtained by the end of 2015.Results:In total,122(61%),28(14%),37(19%)and 12(6%)of patients were in stages T1c-T2a,T2b-c,T3 and T4,respectively.Patients generally presented with abnormal screening or lower urinary tract symptom.Seventy-one percent of patients received androgen deprivation therapy as monotherapy and 22% of the radiation-treated patients added androgen deprivation therapy.Patients in stage T1c-T2a and T2b-c showed a favorable prognosis.Some cancer death appeared in patients with T3 and T4 during observation periods.Twenty-seven percent of patients died from prostate cancer-independent complications:pneumonia,heart disease,and brain vascular disease.Tendency is similar to that of Japanese elderly male population.No remarkable side effects from androgen deprivation therapy were noticed.

关键词： prostate cancer Elderly Androgen deprivation Non-metastatic prostate cancer Radiation therapy

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