Objective: There are few reports of the long-term outcomes of elderly patients with prostate cancer. We analyzed data from our institution from the past 12 years, including the patient history, treatment methods, and prognosis of patients with prostate cancer aged 80 years or more. Patients and Methods: A total of 179 cases of prostate cancer in patients aged 80 years or more were retrospectively evaluated. We divided them chronologically into groups A, B, C, and D: Group A included 40 cases from 2002-2004; Group B, 48 cases from 2005-2007; Group C, 46 cases from 2008-2010; and Group D, 45 cases from 2011-2013. Results: Sixty-one (30%) patients changed treatment course. Interestingly, no cancer deaths occurred in the patients who changed treatment course. Although 14 (7.8%) cancer deaths occurred (A: B: C: D = 4: 4: 6: 0, respectively), all occurred in 2011 or later. Conclusion: In our study, over 50 patients who underwent treatment survived for 5 years or more. By treating prostate cancer in elderly patients when appropriate, we can lower the mortality rate due to prostate cancer. Our results support the active treatment of prostate cancer in elderly patients.
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Journal of rural medicine : JRM. 2016 Jan 01 [Epub]
Takehiko Okamura, Hidetoshi Akita, Kenji Yamada, Daichi Kobayashi, Yasuhiko Hirose, Takahiro Kobayashi, Yutaro Tanaka, Taku Naiki, Takahiro Yasui
Department of Urology, Anjo Kosei Hospital, Japan., Department of Nephro-Urology, Nagoya City University Graduate School of Medical Sciences, Japan.