老年消化道原发恶性肿瘤患者56例临床特点分析

摘要

目的 研究老年患者消化系统原发恶性肿瘤的临床特点.方法 选取2005～2011年我科住院的56例老年消化道原发恶性肿瘤患者,对其首发症状、诊断方法、病变部位、病理类型、合并症、治疗及预后进行分析.结果 本组患者16例(28.6％)无症状,40例(71.4％)因消化系统症状就诊;50例(89.2％)通过消化内窥镜检查诊断;胃窦(24.6％)和乙状结肠(19.3％)为好发部位;腺癌为常见病理类型(47例,83.9％);高血压(42.8％)、糖尿病(33.9％)和冠心病(25％)为本组患者的常见合并症;肺、肝为常见的血行转移部位,中位生存时间为8.5个月,最长带瘤已生存86个月.结论 消化道内窥镜是诊断老年消化道原发恶性肿瘤的重要方法,老年消化道原发性恶性肿瘤患者带瘤生存时间较长,免疫及营养支持治疗在延长患者生存期方面起到重要的作用.%Objective To investigate the Clinical features of elderly patients with primary gastrointestinal malignant neoplasms.Methods Fifty-six elderly patients with primary gastrointestinal malignant neoplasms who have been treated in our department from 2005 to 2010 were Selected, and their first clinical symptoms, diagnosis methods, disease location, pathology,complications, treatment and prognosis were analyzed. Results Of these patients, 16 patients (28.6%) are discovered with no symptoms, 40 patients (71.4%) were treated because of digestive symptoms. 50 patients (89.2%) were diagnosed by digestive endoscopy. Antrum (24.6%) and Sigmoid (19.3%) were the most common location where the tumor occurred. Adenocarcinoma (47 cases, 83.9%) was the most common pathology type. Hypertension (42.8%), diabetes (33.9%) and Coronary heart disease (25%) are the most common complications. Lung and liver are the most common organs where the cancer occurred hematogenous metastasis. The median survival time is 8.5 months; the longest survival time with tumor is 86 months. Conclusion Digestive endoscopy was a kind of important method to diagnose primary gastrointestinal malignant neoplasm in elderly. The survival time with tumor in elderly with primary gastrointestinal malignant neoplasm was longer, and immunity and nutrition support might play an important role in prolonging patient survival times.