TO EVALUATE GYNAECOLOGICAL MALIGNANCY AMONG GERIATRIC AGE GROUP (?65 years), MANAGEMENT AND OUTCOME OF TREATMENT

Dr. Dipika Singh; Dr. Tribhuwan Sahu

Volume : VII, Issue : XII, December - 2017

TO EVALUATE GYNAECOLOGICAL MALIGNANCY AMONG GERIATRIC AGE GROUP (?65 years), MANAGEMENT AND OUTCOME OF TREATMENT

Dr. Dipika Singh, Dr. Tribhuwan Sahu

Abstract :

Introduction:– Increasing number of elderly population is a known contributing factor for the increasing rate of cancer incidence worldwide. Gynaecological cancers are constituting about 30% of the total cancers among women in India. Surgery is in many instances, the cornerstone for treatment of cancer patients at any age. However because the prevalence of comorbidity increases with age, serious concern often exits as to feasibility of surgery in geriatric patients

Aim and Objective: The aim is to study distribution of gynaecological malignancy among geriatric patients undergone surgery and evaluate feasibility and outcome of surgery in this age group.

Materials and Methods: A retrospective study of 35 cases of gynaecological malignancies in geriatrics, Age, symptom, clinical findings, investigations and Performance status was evaluated, by ECOG performance level (Eastern Cooperative Oncology Group. Patients were divided into groups of either early or advanced stage of disease. Preoperative anaesthetic evaluation, surgery assessment, complication and recovery were evaluated.

Results: In our study the average age of patients was 69.57 years. Distribution of gynaecological malignancy according to age, 31.4% of the elderly group have ovarian tumour, 31.4% uterine corpus, 8.5% cervical and 28.5% vulvar cancer. The mean duration of hospital stay was 19 days (range 9–32 days). In whole series complications occurred were in acceptable level, not related with increasing age.

Conclusion: This study demonstrates that in specialized units, primary surgery for gynaecologic malignancies in elderly women can be carried out with very low morbidity and mortality.