1986 Volume 23 Issue 6 Pages 588-593
One thousand cases were autopsied in Kurate Kyoritsu Hospital from 1964 to 1980, and there were 126 cases with malignancy in 631 autopsies at 70 years old or more. We examined clinico-pathologically the 83 cases died with malignancy, and the 43 cases having a carcinoma that were not directly related to the death. 1) Among the 43 male cases died with malignancy, the most common was lung cancer and gastric cancer (11 cases), followed by prostatic cancer (4 cases), gallbladder cancer, colo-rectal cancer and esophageal cancer (3 cases, respectively). Similarly among the 40 female cases the most common was lung cancer (13 cases), followed by gastric cancer (8 cases), gallbladder cancer and colo-rectal cancer (4 cases), renal cancer (3 cases). 2) Concerning the histological type, squamous cell carcinoma was 6 and adenocarcinoma was 2 in 11 male cases who died of lung cancer. Similarly squamous cell carcinoma was 5 and adenocarcinoma was 4 in 13 female cases. Adenocarcinoma was 8 and anaplastic carcinoma was 3 in 11 male cases who died of gastric cancer. Similarly adenocarcinoma was 5 and anaplastic carcinoma was 3 in 8 female cases. All cases with gallbladder cancer or colo-rectal cancer were adenocarcinoma, and all cases with renal cancer were also renal cell carcinoma. 3) The carcinoma that was not directly related to the death was observed in 43 cases. Among the 25 male cases, the most common was prostatic cancer (10 cases), followed by gastric cancer (5 cases), lung cancer (4 cases), thyroid cancer (3 cases). Similarly among the 18 female cases, the most common was thyroid cancer (9 cases), followed by gastric cancer, lung cancer and pancreatic cancer (2 cases, respectively). 4) There were 10 cases with double cancer, and the most common was the combination of lung cancer with gastric cancer. Aged patients are apt to complain of a few and atypical symptoms, so that the definite diagnosis may be too late. Aged patients with malignancy will be increased in number in the near future, and the early diagnosis and the appropriate treatments are necessary for them.