Chemoradiotherapy for locally advanced pancreatic carcinoma in elderly patients

Chigusa Morizane, Takuji Okusaka, Yoshinori Ito, Hideki Ueno, Masafumi Ikeda, Yoriko Takezako, Yoshikazu Kagami, Hiroshi Ikeda

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Objectives: Chemoradiotherapy, which is one of the standard treatments for locally advanced pancreatic carcinoma, is considered a high-risk procedure in elderly patients. This study investigated the outcome and tolerability of this treatment in elderly patients. Methods: We reviewed our database from November 1993 to March 2003 and retrospectively examined the clinical data of patients with histologically confirmed exocrine pancreatic carcinomas that were nonresectable but confined to the pancreatic region, who were treated with protracted 5-fluorouracil infusion (200 mg/m2/day) and concurrent radiotherapy (50.4 Gy in 28 fractions over 5.5 weeks). We evaluated the outcome of patients ≥70 years and those <70 years. Results: There were 19 patients ≥70 and 39 patients <70. On pretreatment evaluation, the elderly patients showed lower serum albumin levels, lower transaminase levels, better ECOG performance status, more frequent body weight loss and less frequent abdominal and/or back pain with the administration of morphine than the younger patients. There were no significant differences in the frequency of severe toxicity. Neither the response rate nor the incidence of treatment discontinuation differed significantly between the two groups. The median survival time was longer in the elderly patients than in the younger patients (11.3 vs. 9.5 months, p = 0.04). Conclusions: With careful patient selection, chemoradiotherapy can be one of the treatment options for locally advanced pancreatic carcinoma in elderly patients.

Original languageEnglish
Pages (from-to)432-437
Number of pages6
JournalOncology
Volume68
Issue number4-6
DOIs
StatePublished - Aug 2005
Externally publishedYes

Keywords

  • Chemoradiotherapy
  • Elderly
  • Pancreatic carcinoma

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