Primary malignant tumours of bone and soft tissue in the elderly

Aims. This study reports outcome, functional results and quality of life of 45 elderly patients with age over 70 after surgery for primary malignant bone and soft tissue tumours. Methods. There were 24 primary malignant bone tumours and 21 soft tissue sarcomas. The most frequent diagnoses were: chon...

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Bibliographic Details
Published in:European journal of surgical oncology 2004-10, Vol.30 (8), p.877-883
Main Authors: Buchner, M., Bernd, L., Zahlten-Hinguranage, A., Sabo, D.
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Bone and soft tissue tumours
Bone Neoplasms - mortality
Bone Neoplasms - pathology
Bone Neoplasms - surgery
Chondrosarcoma
Female
Follow-Up Studies
Geriatric Assessment
Germany
Humans
Immunohistochemistry
Male
Neoplasm Staging
Old patients
Prospective Studies
Quality of Life
Registries
Risk Assessment
Soft Tissue Neoplasms - mortality
Soft Tissue Neoplasms - pathology
Soft Tissue Neoplasms - surgery
Survival Analysis
Treatment Outcome
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Summary:Aims. This study reports outcome, functional results and quality of life of 45 elderly patients with age over 70 after surgery for primary malignant bone and soft tissue tumours. Methods. There were 24 primary malignant bone tumours and 21 soft tissue sarcomas. The most frequent diagnoses were: chondrosarcoma, malignant fibrous histiocytoma and liposarcoma. Local tumour resection with and without osteosynthesis, endoprostheses, and amputations had been performed for surgery. The patients were prospectively followed in a tumour register. Results. Complication and revision rate, functional outcome using the Musculoskeletal Tumor Society score, 5-year survival rate, median survival time and quality of life according to the Life Satisfaction Index A and the global health and quality-of-life scale of the QLQ-C30 revealed results that are only slightly inferior to those reported in younger tumour patients. Conclusions. The results of this study generally justify even extensive tumour surgery in the elderly patient over 70 although outcomes are not quite as good as those reported for younger adults. However, especially in the old patient indications like general condition and comorbidity should be given due consideration before any decision is made on whether surgery should be performed and if so what surgical technique should be applied.
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2004.06.013