The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Clinical Characteristics of Patients Older than 76 with Lung Cancer

76세 이상 노령자 폐암에서의 임상적 특징

  • Jung, Sun-Young (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Park, Dong-Il (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Park, Myoung-Rin (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Jung, Sung-Soo (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kim, Ju-Ock (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Kim, Sun-Young (Department of Internal Medicine, Chungnam National University School of Medicine) ;
  • Lee, Jeong-Eun (Department of Internal Medicine, Chungnam National University School of Medicine)
  • 정선영 (충남대학교 의학전문대학원 내과학교실) ;
  • 박동일 (충남대학교 의학전문대학원 내과학교실) ;
  • 박명린 (충남대학교 의학전문대학원 내과학교실) ;
  • 정성수 (충남대학교 의학전문대학원 내과학교실) ;
  • 김주옥 (충남대학교 의학전문대학원 내과학교실) ;
  • 김선영 (충남대학교 의학전문대학원 내과학교실) ;
  • 이정은 (충남대학교 의학전문대학원 내과학교실)
  • Published : 2012.05.01
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Abstract

Background/Aims: A significant proportion of elderly patients who have lung cancer do not receive treatment even though they may benefit from it. The aims of this study were to analyze the clinical characteristics of elderly patients with lung cancer, especially those aged 76 years and older. Methods: In this retrospective study, we analyzed clinical data from 341 patients with lung cancer who were diagnosed at Chungnam National University Hospital from January 2003 to September 2010. Results: The median age of patients was 79 years (76-91), and 39.6% (n = 135) of the total sample were older than 80. Squamous cell carcinoma was the most common type of lung cancer, and the performance status (Eastern Cooperative Oncology Group [ECOG] 0-1) of 40.6% (n = 116) of the sample was good. Of the 293 non small cell lung cancer (NSCLC) patients, 53.6% were untreated. About 68% of all patients knew about their disease (n = 232). Conclusions: Our data indicated that many elderly patients with lung cancer were undertreated. Elderly patients with lung cancer should receive education to help them understand their disease and to encourage them to receive appropriate treatment.

목적: 폐암은 우리나라 암 사망원인에서 가장 높은 비율을 차지하는 질환이며 사회의 노령화에 따라 노인 폐암 환자는 증가하고 있지만, 실제로는 여러 이유로 적극적인 치료를 받지 못하는 경우가 많다. 이 연구에서는 76세 이상의 노인 폐암환자의 임상양상과 질병에 대한 병식에 대해 알아보고자 하였다. 방법: 2003년 1월부터 2010년 9월까지 충남대학교 병원에서 조직학적으로 폐암으로 확진을 받은 76세 이상인 환자를 대상으로 후향적인 연구를 하였다. 결과: 총 341명의 환자가 분석되었다. 중앙 나이 값은 79세였으며, 그중 80세 이상이 135명으로 39.6%를 차지하였다. 비소세포폐암 중 편평세포암이 가장 많은 비율을 차지하였다. 활동도의 경우 ECOG 0-1인 환자가 전체의 39.6%였다. 전체 환자 중 48%만이 치료를 받았으며, 병식이 있는 경우 치료를 받는 비율이 69.4%로 병식이 없는 경우에 비해 높았다. 결론: 노인 환자에서도 질병에 대한 정확한 지식과 이해를 통해 적극적인 치료를 시행하는 것이 바람직하다.

Keywords

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