Investigation of skin cancer in the geriatric age group
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Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Yaşam süresindeki artışla birlikte yaşla ilişkili hastalıklar, bunların içinde kanserde olacak şekilde artmaktadır. Çalışmamızda bu amaçla Plastik Cerrahi servisinde cilt kanseri nedeniyleameliyat edilen 65 yaş üstü hastaların tedavi yöntemleri ve sonuçları değerlendirildi.Gereç ve Yöntem: Çalışmaya 2010-2014 yılları arasında Plastik Cerrahi Anabilim Dalı'nda ciltkanseri nedeniyle ameliyat edilen 65 yaş üstü hastalar dahil edildi. Hastaların, yaşları, cinsiyetleri,tanıları, lokalizasyonu, yapılan işlemler, lenf nodu diseksiyonları ve verilen ek tedaviler sınıflandırıldı.Bulgular: 91 cilt kanserli geriatrik hasta olduğu tespit edildi. Hastaların yaş ortalaması 74,4olarak bulundu. Hastaların 47 (51,65%)'si kadın, 44 (48,35%) erkek idi. Hastaların tanıları incelendiğinde 58 (63,74%) hastada bazal hücreli karsinom, 27 (29,67%) hastada skuamöz hücrelikarsinom ve 6 (6,59%) hastada kutanöz melanoma olduğu saptandı. Yapılan cerrahi işlemler incelendiğinde 22 (24,17%) hastada lezyon eksizyonu + primer sütürasyon, 19 (20,88%) hastadalezyon eksizyonu + greftle onarım, 48 (%52,75) hastada lezyon eksizyonu + lokal fleple onarım,2 (2,20%) hastada ampütasyon yapıldı. Sonuç: Yaşlılarda cilt kanseri özellikle kutanöz melanoma insidans ve mortalitesi son yıllardagenç hastalardan daha fazla artmıştır. Sağlık kontrollerinde geriatrik yaş grubuna dikkat edilerekcilt kanserleri ile ilgili mortalite azaltılabilir.
Introduction: With the increase in lifespan, age related diseases including cancer also increase. With this in mind, in our study we evaluated treatment methods and results of patients whowere older than age 65 and operated for skin cancer in the Plastic Surgery Clinic. Material and Method: Patients older than age 65 who were operated between 2010 and2014 for skin cancer in the Department of Plastic Surgery were included in our study. Age, gender, diagnosis, localization, operation, lymph node dissection and additional treatments wereanalysed. Results: 91 geriatric patients with skin cancer were detected. The average age of patientswas 74.4 years. 47 (51.65%) patients were female; 44 patients (48.35 %) were male. With respect to diagnosis, 58 (63.74%) had basal cell carcinoma, 27 (29.67%) had squamous cell carcinoma, and in 6 (6.59%) patients cutaneous melanoma was detected. A review of surgical operations showed that 22 (24.17%) patients had lesion excision + primary suturation, 19 (20.88%) hadlesion excision + graft repair, 48 (52.75%) had lesion excision + local flap repair, and 2 (2.20%)had amputation. Conclusion: In recent years, skin cancer, especially the incidence and mortality of cutaneousmelanoma, has been seen more frequently in elders, compared to younger patients. In health controls, the mortality of skin cancer may be reduced by taking into account the geriatric age group.
Introduction: With the increase in lifespan, age related diseases including cancer also increase. With this in mind, in our study we evaluated treatment methods and results of patients whowere older than age 65 and operated for skin cancer in the Plastic Surgery Clinic. Material and Method: Patients older than age 65 who were operated between 2010 and2014 for skin cancer in the Department of Plastic Surgery were included in our study. Age, gender, diagnosis, localization, operation, lymph node dissection and additional treatments wereanalysed. Results: 91 geriatric patients with skin cancer were detected. The average age of patientswas 74.4 years. 47 (51.65%) patients were female; 44 patients (48.35 %) were male. With respect to diagnosis, 58 (63.74%) had basal cell carcinoma, 27 (29.67%) had squamous cell carcinoma, and in 6 (6.59%) patients cutaneous melanoma was detected. A review of surgical operations showed that 22 (24.17%) patients had lesion excision + primary suturation, 19 (20.88%) hadlesion excision + graft repair, 48 (52.75%) had lesion excision + local flap repair, and 2 (2.20%)had amputation. Conclusion: In recent years, skin cancer, especially the incidence and mortality of cutaneousmelanoma, has been seen more frequently in elders, compared to younger patients. In health controls, the mortality of skin cancer may be reduced by taking into account the geriatric age group.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Türk Geriatri Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
17
Sayı
3
