Elderly patients with advanced cancers combined analysis Misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 11 Elderly patients with advanced cancers combined analysis Misdiagnosis Of: Wang Wanhua, Xu Xianhua, Shen Yu, Peng Huasheng, Zhao Tao, Xue Yaqin [Keywords:] elderly patients; cancer; Misdiagnosis Older people suffering from various diseases, the clinical symptoms are usually co-exist, as a result of a disease after hospitalization, mostly clinical symptoms on admission the main focus for the examination and treatment when suffering from cancer, often associated with the performance of advanced cancer Other symptoms of confusion, coexistence, easily missed diagnosis of neglect and misuse. nearly 6 years, our clinical experience in 7 cases, described below. 1 Clinical data 1.1 General Information The group of 7 patients, all male patients for the military retirees, age 63 to 90 years, mean 78 years; All patients were diagnosed at advanced cancer, including lung cancer in 3 cases, average age 82.7 years, survival time after diagnosis were 22 days, 94 days, 246 days; 2 cases of pancreatic cancer, aged 63 years, 78 years, mean age 70.5 years; are pancreatic cancer, liver metastasis; 63-year-old surgical patients not only symptomatic treatment with local radiotherapy plus family, survival 1 year, 78 years after diagnosis in patients with severely impaired liver function, obstructive jaundice, the line outside the local drainage stent placement, chemotherapy and supportive care, survival 28 days after diagnosis; 1 case of colon cancer, aged 79 years, underwent surgery survival after 6 months; 1 case of gastric adenocarcinoma was diagnosed immediately after surgery, patients in the liver metastases to chemotherapy and supportive care after surgery, died 56 days after infection and liver failure. 1.2 misdiagnosis case 3 cases of lung cancer are long-term repeated hospitalization in patients over 2 years, 2 patients with chest tightness, precordial discomfort, chest pain, breathing difficulties as the main performance, mainly