Debruyne F M
Tijdschr Gerontol Geriatr. 1986 Apr;17(2):65-8.
Malignant urological diseases account for an important part of all malignant tumors in the elderly. It is obvious that in the elderly the same diagnostic tools should be applied for diagnosing and staging of a tumor. This screening is important to select those tumors which are accessible for curative therapy. Generally this is only possible when the tumor is limited within the borders of the organ. In these cases curative surgery with acceptable morbidity and minimal mortality is also possible in the elderly. Radical nephrectomy, prostatectomy and cystectomy are applied when a life-expectancy of approximately 10 years is present. When metastasized, only palliative measurements are possible. The quality of life now plays a major role and is more important than the survival time. This has to be taken into account when considering palliative treatment of any kind.
泌尿系统恶性疾病在老年人群所有恶性肿瘤中占重要部分。显然，对于老年人，应采用相同的诊断工具来诊断肿瘤并进行分期。这种筛查对于选择那些可进行根治性治疗的肿瘤很重要。一般来说，只有当肿瘤局限于器官边界内时才有可能。在这些情况下，老年人也可以进行具有可接受的发病率和最低死亡率的根治性手术。当预期寿命约为10年时，可进行根治性肾切除术、前列腺切除术和膀胱切除术。当发生转移时，只能采取姑息性措施。现在生活质量起着主要作用，比生存时间更重要。在考虑任何形式的姑息治疗时都必须考虑到这一点。
