Treatments patterns of vulvar cancer in the elderly
Objective: To evaluate treatment patterns of vulvar cancer in patients over 80 years. Material and Methods: Between 1979 and 1999, the Geneva Tumor Registry identified 230 women with vulvar cancer. Treatment of patients over 80 years and younger were compared. Kaplan-Meier analysis was used to deter...
Saved in:
Published in | Surgical oncology Vol. 13; no. 4; pp. 187 - 191 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Netherlands
Elsevier Ltd
01.12.2004
Elsevier Limited |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Objective: To evaluate treatment patterns of vulvar cancer in patients over 80 years.
Material and Methods: Between 1979 and 1999, the Geneva Tumor Registry identified 230 women with vulvar cancer. Treatment of patients over 80 years and younger were compared. Kaplan-Meier analysis was used to determine disease specific cumulative survival.
Results: Young women are more likely to present in situ lesions compared to their older counterparts. Majority of vulvar cancers were observed in women ⩾80 (
p
<
0.001
) at more advanced stages. Elderly women have either no treatment, either unconventional or inadequate treatments. The Mantel-Haentzel analysis shows a 23.4 OR (IC (95%) 2.9–186.6) of not being treated if the patient is over 80.
Specific 5-years survival was 93% in stage I, compared to 21% in stage IV.
Conclusion: Patients over 80 years are diagnosed at more advanced stages. Less aggressive treatments decrease outcome. |
---|---|
ISSN: | 0960-7404 1879-3320 |
DOI: | 10.1016/j.suronc.2004.10.002 |