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Surgical Treatment Outcomes of Gynecologic Cancer in Older Patients: A Retrospective Study

This study aimed to evaluate oncologic characteristics and surgical outcomes in older patients with gynecologic cancers. This retrospective study included patients aged ≥65 years who were diagnosed with gynecologic cancers and underwent surgical treatment between 2005 and 2020. We reviewed the medic...

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Autores principales: So, Kyeong A, Shim, Seung-Hyuk, Lee, Sun Joo, Kim, Tae Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094859/
https://www.ncbi.nlm.nih.gov/pubmed/37048601
http://dx.doi.org/10.3390/jcm12072518
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author So, Kyeong A
Shim, Seung-Hyuk
Lee, Sun Joo
Kim, Tae Jin
author_facet So, Kyeong A
Shim, Seung-Hyuk
Lee, Sun Joo
Kim, Tae Jin
author_sort So, Kyeong A
collection PubMed
description This study aimed to evaluate oncologic characteristics and surgical outcomes in older patients with gynecologic cancers. This retrospective study included patients aged ≥65 years who were diagnosed with gynecologic cancers and underwent surgical treatment between 2005 and 2020. We reviewed the medical records for age at diagnosis, body mass index, American Society of Anesthesiologists score, comorbidities, postoperative complications, cancer stage, histologic type, surgical treatment, postoperative outcome, and survival rate. Data were compared between groups according to the age at the time of diagnosis: <75 years (young-old) and ≥75 years (old-old). In total, 131 patients were identified: 53 (40.5%) with ovarian or primary peritoneal cancer (OC), 44 (33.6%) with endometrial cancer (EC), 30 (22.9%) with cervical cancer, and 4 (3.1%) with leiomyosarcoma. The patients’ mean age was 70 (range, 65–83) years; 106 (80.9%) were young-old and 25 (19.1%) were old-old. Postoperative complications occurred in 19 (14.5%) patients. Four patients died within six months after surgery, and three died because of disease progression. There was no difference in the survival rates between the two groups among those with OC and EC. Older patients with gynecologic cancers showed good surgical outcomes and tolerable postoperative complications. Therefore, we can safely offer surgical treatment to older patients.
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spelling pubmed-100948592023-04-13 Surgical Treatment Outcomes of Gynecologic Cancer in Older Patients: A Retrospective Study So, Kyeong A Shim, Seung-Hyuk Lee, Sun Joo Kim, Tae Jin J Clin Med Article This study aimed to evaluate oncologic characteristics and surgical outcomes in older patients with gynecologic cancers. This retrospective study included patients aged ≥65 years who were diagnosed with gynecologic cancers and underwent surgical treatment between 2005 and 2020. We reviewed the medical records for age at diagnosis, body mass index, American Society of Anesthesiologists score, comorbidities, postoperative complications, cancer stage, histologic type, surgical treatment, postoperative outcome, and survival rate. Data were compared between groups according to the age at the time of diagnosis: <75 years (young-old) and ≥75 years (old-old). In total, 131 patients were identified: 53 (40.5%) with ovarian or primary peritoneal cancer (OC), 44 (33.6%) with endometrial cancer (EC), 30 (22.9%) with cervical cancer, and 4 (3.1%) with leiomyosarcoma. The patients’ mean age was 70 (range, 65–83) years; 106 (80.9%) were young-old and 25 (19.1%) were old-old. Postoperative complications occurred in 19 (14.5%) patients. Four patients died within six months after surgery, and three died because of disease progression. There was no difference in the survival rates between the two groups among those with OC and EC. Older patients with gynecologic cancers showed good surgical outcomes and tolerable postoperative complications. Therefore, we can safely offer surgical treatment to older patients. MDPI 2023-03-27 /pmc/articles/PMC10094859/ /pubmed/37048601 http://dx.doi.org/10.3390/jcm12072518 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
So, Kyeong A
Shim, Seung-Hyuk
Lee, Sun Joo
Kim, Tae Jin
Surgical Treatment Outcomes of Gynecologic Cancer in Older Patients: A Retrospective Study
title Surgical Treatment Outcomes of Gynecologic Cancer in Older Patients: A Retrospective Study
title_full Surgical Treatment Outcomes of Gynecologic Cancer in Older Patients: A Retrospective Study
title_fullStr Surgical Treatment Outcomes of Gynecologic Cancer in Older Patients: A Retrospective Study
title_full_unstemmed Surgical Treatment Outcomes of Gynecologic Cancer in Older Patients: A Retrospective Study
title_short Surgical Treatment Outcomes of Gynecologic Cancer in Older Patients: A Retrospective Study
title_sort surgical treatment outcomes of gynecologic cancer in older patients: a retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094859/
https://www.ncbi.nlm.nih.gov/pubmed/37048601
http://dx.doi.org/10.3390/jcm12072518
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