Determining the optimum way to maintain quality of life for very elderly patients with advanced bladder cancer and poor performance status: A case report

Suzuki,Kenjiro; Hanashima,Fuminari; Shirotake,Suguru; Kodaira,Kiichiro; Nishimoto,Koshiro; Takahashi,Takao; Onishi,Hideki; Oyama,Masafumi

doi:10.3892/mco.2017.1236

June-2017 Volume 6 Issue 6

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June-2017 Volume 6 Issue 6

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Case Report

Determining the optimum way to maintain quality of life for very elderly patients with advanced bladder cancer and poor performance status: A case report

Authors:
- Kenjiro Suzuki
- Fuminari Hanashima
- Suguru Shirotake
- Kiichiro Kodaira
- Koshiro Nishimoto
- Takao Takahashi
- Hideki Onishi
- Masafumi Oyama
View Affiliations / Copyright

Affiliations: Department of Uro-Oncology, Saitama Medical University International Medical Center, Saitama 350‑1298, Japan, Department of Palliative Medicine, Saitama Medical University International Medical Center, Saitama 350-1298, Japan, Department of Psycho‑Oncology, Saitama Medical University International Medical Center, Saitama 350-1298, Japan
Pages: 968-970
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Published online on: May 5, 2017

https://doi.org/10.3892/mco.2017.1236
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Abstract

Locally advanced bladder cancer causes unpleasant symptoms such as irritative voiding symptoms, lower abdominal pain, gross hematuria and urinary retention, and lowers the quality of life. Treatment decisions in elderly patients may be difficult, as elderly patients are physically and psychologically different from younger patients. An 89-year-old male was referred to hospital for the treatment of an invasive bladder tumor with right hydronephrosis from tumor obstruction. The patient was elderly and did not have a good performance status; therefore curative radical cystectomy or chemotherapy was not indicated. Left retroperitoneoscopic ureterocutaneostomy was performed to alleviate gross hematuria and voiding difficulty. Intensity-modulated radiotherapy was administered 9 days after the surgery to control bleeding in the bladder tumor. After completing 8 days of radiotherapy, the patient was discharged from hospital. The patient exhibited no signs of either postrenal failure or gross hematuria for 7 months prior to mortality. Retroperitoneoscopic ureterocutaneostomy for very elderly patients with advanced bladder cancer with a poor performance status may be an important procedure for alleviating symptoms and improving quality of life.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Determining the optimum way to maintain quality of life for very elderly patients with advanced bladder cancer and poor performance status: A case report

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