Journal of Medical Oncology and Therapeutics

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Cancer in nonagenarian: A hospital-based survival study

12th World Cancer Congress
July 23-25, 2018 | Moscow, Russia

Manigreeva Krishnatreya, Jagannath Dev Sharma, Amal Chandra Kataki, Nizara Baishya, Mouchumee Bhattacharyya and Manoj Kalita

Dr Bhubaneswar Borooah Cancer Institute, India

Posters & Accepted Abstracts : J Med Oncl Ther

Abstract:

Cancers in a nonagenarian patient is rarely seen and there is always a moral dilemma for the family members and patient of whether to opt for the treatment or not. The main objective of this study was to identify the survival differences between treated and not treated nonagenarian cancer patients. This was a retrospective study of Hospital-based Cancer Registry data from 2010 to 2016. The data of all nonagenarian cancer patients were analyzed for gender distribution, leading sites of cancer, stage distribution, types of treatment received, and survival. The survival was calculated from the date of first diagnosis. Kaplan-Meier analysis was done to present the survival. Of 60,087 patients, 146 (0.2%) patients were of 90 years and above. Hypopharynx in males (20.5%) and tongue (20.5%) in females were the top cancer sites, 60% patient data were in stages III and IV, 37 (25.3%) patients received treatment and 86% patients were treated by radiotherapy. The overall survival (OS) was 14.3%. OS in the treatment group was 21.3% versus 7.7% (P=0.001) in the no treatment group. The unadjusted HR for no treatment group was 3.8 (P=0.003, CI=1.5-9.7). Selected nonagenarian cancer patients from our population with a good performance status should receive curative treatments in all possible ways.

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