Page of

Multidisciplinary management, including chemotherapy of solid tumours (lung, breast, and colon) 

Multidisciplinary management, including chemotherapy of solid tumours (lung, breast, and colon)
Chapter:
Multidisciplinary management, including chemotherapy of solid tumours (lung, breast, and colon)
Source:
Oxford Textbook of Geriatric Medicine (3 edn)
Author(s):

Nicolò Matteo Luca Battisti

and Martine Extermann

DOI:
10.1093/med/9780198701590.003.0093

Cancer is a common disease in geriatric patients and its biology and prognosis are affected by age. The comprehensive geriatric assessment addresses the complex management of the older population, which is still underrepresented in clinical trials despite its rapid expansion in Western countries. Thus, it is crucial to develop a multidisciplinary approach to geriatric oncology care considering functional disability, competing comorbidities, cognitive impairment, nutritional status, psychosocial distress, and polypharmacy as major issues. Fit elderly breast cancer patients should be treated similarly to younger women, whereas the management of frail patients should be individualized. Special considerations may apply to the postoperative treatment of elderly colon cancer patients, and in the setting of metastases, toxicities, and quality of life should be balanced. The same concerns are valid for the management of lung cancer in elderly patients. Accordingly, geriatricians should be aware of oncological approaches and oncologists should be trained in geriatric management.

Sign In

Copyright © 2021. All rights reserved.