Terret Catherine, Zulian Gilbert, Droz Jean-Pierre
Centre Léon Bérard, Department of Medical Oncology, Lyon-RTH Laennec School of Medical Oncology, 28 rue Laënnec, 69373 Lyon Cedex 69008, France.
Crit Rev Oncol Hematol. 2004 Nov;52(2):127-33. doi: 10.1016/j.critrevonc.2004.08.003.
Geriatric oncology is defined by the multidimensional and multidisciplinary approach of the elderly cancer patients. Autonomy, beneficence, non-maleficence and justice are the four fundamental principles on which are based the treatment objectives and practical management of these patients. The comprehensive geriatric assessment is the tool the most likely to detect the functional problems in these elderly patients. The standard oncologic managements of cancer are applicable to these patients. However treatment plan and geriatric interventions must be tailored to each individual patient characteristics. Thus a strong interdependence between oncologic and geriatric teams is warranted. This implies specific teaching programs during initial medical studies and in the setting of continuous medical education. Furthermore, such worldwide teaching programs may help to the implementation of geriatric oncology programs which is only based, to date, on personal experiences as described in this report.
老年肿瘤学是由老年癌症患者的多维度和多学科方法所定义的。自主、行善、不伤害和公正，是这些患者治疗目标和实际管理所基于的四项基本原则。综合老年评估是最有可能发现这些老年患者功能问题的工具。癌症的标准肿瘤学管理方法适用于这些患者。然而，治疗计划和老年干预措施必须根据每个患者的具体特征进行调整。因此，肿瘤学团队和老年医学团队之间必须紧密协作。这意味着在医学基础教育阶段以及继续医学教育过程中要有专门的教学项目。此外，这样的全球教学项目可能有助于老年肿瘤学项目的实施，目前该项目仅基于本报告中所描述的个人经验。
