Abstract
Opportunities for the treatment of elderly patients with oral cancer have increased with the ageing of society. A clinical study was conducted of the treatment of 24 oral cancer patients aged 80 years or older. Twenty-four patients were referred to our hospital; they were over 80 years old between July 2013 and June 2016. We researched their treatment and quality of life (QOL) retrospectively. The treatments were 17 cases of radical treatment, 1 case of palliative treatment, and 6 cases of best supporting care (BSC). Radical resection was performed in 11 patients with local excision only, and local resection and surgery including neck dissection were performed in 6 patients. Among them, there were 3 cases of skin flap reconstruction, and the patients could maintain their QOL.
In considering surgical selection criteria for elderly patients with oral cancer, there is G8, which is a functional evaluation of the elderly. In this study, the average score of the radical resection group was 12.3, that of the non-radical treatment group was 6.4, and that of flap reconstruction cases was 14.3.