目的了解近10年来老年人类癌谱的变化及临床特点。方法对本院近10年40例老年类癌患者进行回顾性分析,并与66例非老年类癌患者进行对照。结果老年人类癌最多见于肺(67.5%),其次为胃(12.5%)、直肠(7.5%)。87.5%为男性,局部淋巴结转移率47.5%,远处脏器转移率7.5%。无类癌综合征发生,多原发癌发生率10.0%,手术切除率85.0%。结论近10年老年人类癌谱发生明显变化,最常见于肺,多为不典型类癌。类癌综合征少见,手术切除率高,预后相对较好。 Objective To understand the changes and clinical features of human cancer spectrum in the past 10 years. Methods A retrospective analysis of 40 elderly patients with cancer in the past 10 years in our hospital was performed and compared with 66 non-elderly patients with cancer. Results The most common carcinoid in elderly was lung (67.5%), followed by stomach (12.5%) and rectum (7.5%). 87.5% were male, the rate of local lymph node metastasis was 47.5% and the distant organ metastasis rate was 7.5%. No carcinoid syndrome occurs, the incidence of multiple primary cancers 10.0%, surgical resection rate was 85.0%. Conclusion In the past 10 years, there was a significant change in the cancer spectrum of the elderly, most commonly in the lungs and mostly atypical carcinoids. Carcinoid syndrome rare, high surgical resection, the prognosis is relatively good.