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[Bladder cancer in elderly patients].

S Isaka, T Igarashi, S Akimoto

    Hinyokika Kiyo. Acta Urologica Japonica
    |December 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

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    Older bladder cancer patients (over 70) have higher grade tumors and lower survival rates. However, high-grade, low-stage bladder cancer is manageable in older adults with treatments like TUR or radiation.

    Area of Science:

    • Oncology
    • Geriatric Medicine
    • Urology

    Context:

    • Analysis of 205 bladder cancer patients treated over 8 years.
    • Comparison between patients over 70 years old and younger patients.
    • Focus on demographic, clinical, and survival differences.

    Purpose:

    • To compare bladder cancer characteristics and outcomes in older versus younger patients.
    • To investigate causes of mortality in elderly bladder cancer patients.
    • To evaluate treatment efficacy for high-grade, low-stage bladder cancer in the elderly.

    Summary:

    • Older patients (≥70 years) represented 34% of bladder cancer cases.
    • Higher incidence of high-grade tumors and lower 5-year survival (42% vs. 66%) observed in older patients.

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  • Superficial cancers in older adults often led to death from other causes, while invasive cancers were fatal.
  • High-grade, low-stage bladder cancer showed good control with transurethral resection (TUR) or radiation therapy.
  • Impact:

    • Highlights the distinct clinical profile and poorer prognosis of bladder cancer in elderly individuals.
    • Identifies specific challenges in managing bladder cancer in older populations.
    • Suggests effective management strategies for early-stage, high-grade bladder cancer in older adults, improving potential outcomes.