Medical Oncology Department, Hospital Universitario Central de Asturias, C/Julian Clavería s/n, 33006, Oviedo, Spain,
Clin Transl Oncol. 2014 Apr;16(4):351-61. doi: 10.1007/s12094-013-1113-2. Epub 2013 Oct 2.
The increase in life expectancy in the western world means that we are faced with patients diagnosed with breast cancer in old age with increasing frequency. The management of these cases is a challenge for the oncologist, who must take into account the conditions associated with advanced age and the lack of trials in this population. In this review, we addressed the incorporation of geriatric assessment methods that may be useful in making decisions, the particular biological characteristics of breast cancer in elderly patients and their treatment in both localized and advanced disease. Finally, we collected recommendations based on scientific evidence regarding the monitoring and life-style after finishing treatment.
在西方世界,预期寿命的增加意味着我们越来越频繁地面对老年乳腺癌患者。这些病例的管理对肿瘤学家来说是一个挑战,他必须考虑到与高龄相关的条件和该人群中缺乏试验。在这篇综述中,我们探讨了纳入老年评估方法的可能性,这些方法可能有助于做出决策,以及老年乳腺癌患者的特殊生物学特征及其在局限性和晚期疾病中的治疗方法。最后,我们根据关于治疗结束后监测和生活方式的科学证据收集了建议。