Durdux C, Gisselbrecht M
Service de radiothérapie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
Service de gériatrie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
Cancer Radiother. 2015 Oct;19(6-7):391-6. doi: 10.1016/j.canrad.2015.05.024. Epub 2015 Sep 3.
Cancer is a disease that predominantly occurs in older patients who represent a quarter of the population in western countries. Numerous types of cancer are observed in elderly people. Radiotherapy is one of the most powerful treatments against cancer. Most of published studies have demonstrated feasibility of radiotherapy in curative or palliative intent whatever cancer types are considered. Complete geriatric assessment and a multidisciplinary approach are the key points. The purpose of this review is to highlight sights of radiation oncology specifically related to aging. Particular emphasis is placed on logistic and technical aspects of radiation, as dose, irradiated volume, fractionation and the potential usefulness of new technologies.
癌症是一种主要发生在老年患者中的疾病,在西方国家,老年患者占人口的四分之一。在老年人中观察到多种类型的癌症。放射治疗是对抗癌症最有效的治疗方法之一。大多数已发表的研究表明,无论考虑何种癌症类型,放射治疗在根治性或姑息性治疗中都是可行的。全面的老年医学评估和多学科方法是关键要点。本综述的目的是突出放射肿瘤学中与衰老特别相关的方面。特别强调放射治疗的后勤和技术方面,如剂量、照射体积、分割以及新技术的潜在用途。