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老年癌症患者的外科治疗;国际老年肿瘤学会外科特别工作组的建议

The surgical management of elderly cancer patients; recommendations of the SIOG surgical task force.

作者信息

Audisio R A, Bozzetti F, Gennari R, Jaklitsch M T, Koperna T, Longo W E, Wiggers T, Zbar A P

机构信息

University of Liverpool, Whiston Hospital, Prescot, UK.

出版信息

Eur J Cancer. 2004 May;40(7):926-38. doi: 10.1016/j.ejca.2004.01.016.

Abstract

Although cancer in the elderly is extremely common, few health professionals in oncology are familiar with caring for series of oncogeriatric patients. Surgery is at present the first choice, but is frequently delivered suboptimally: under-treatment is justified by concerns about unsustainable toxicity, whilst over-treatment is explained by the lack of knowledge in optimising preoperative risk assessment. This article summarises the point of view of the Surgical Task Force @ SIOG (International Society for Geriatric Oncology), pointing out differences from, and similarities to, the younger cohorts of cancer patients, and highlighting the latest updates and trends specifically related to senior cancer patients.

摘要

尽管老年人患癌症极为常见,但肿瘤学领域的健康专业人员中很少有人熟悉照顾老年肿瘤患者群体。目前手术是首选,但实施情况往往不尽如人意:因担心不可持续的毒性而进行的治疗不足是合理的,而过度治疗则是由于在优化术前风险评估方面缺乏知识。本文总结了国际老年肿瘤学会(SIOG)外科特别工作组的观点,指出与年轻癌症患者群体的差异和相似之处,并强调了与老年癌症患者具体相关的最新进展和趋势。

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