Thavarajah Nemica, Menjak Ines, Trudeau Maureen, Mehta Rajin, Wright Frances, Leahey Angela, Ellis Janet, Gallagher Damian, Moore Jennifer, Bristow Bonnie, Kay Noreen, Szumacher Ewa
Can Oncol Nurs J. 2015 Fall;25(4):384-408. doi: 10.5737/23688076254384395.
The treatment of breast cancer presents specifc concerns that are unique to the needs of older female patients. While treatment of early breast cancer does not vary greatly with age, the optimal management of older women with breast cancer often requires complex interdisciplinary supportive care due to multiple comorbidities. This article reviews optimal approaches to breast cancer in women 65 years and older from an interdisciplinary perspective. A literature review was conducted using MEDLINE and EMBASE, choosing articles concentrated on the management of older breast cancer patients from the point of view of several disciplines, including geriatrics, radiation oncology, medical oncology, surgical oncology, psychooncology, palliative care, nursing, and social work. This patient population requires interprofessional collaboration from the time of diagnosis, throughout treatment and into the recovery period. Thus, we recommend an interdisciplinary program dedicated to the treat ment of older women with breast cancer to optimize their cancer care.
乳腺癌的治疗存在一些特定问题,这些问题是老年女性患者的独特需求所特有的。虽然早期乳腺癌的治疗在年龄方面差异不大,但由于多种合并症,老年乳腺癌女性的最佳管理通常需要复杂的跨学科支持性护理。本文从跨学科角度综述了65岁及以上女性乳腺癌的最佳治疗方法。使用MEDLINE和EMBASE进行了文献综述,选择了从老年医学、放射肿瘤学、医学肿瘤学、外科肿瘤学、心理肿瘤学、姑息治疗、护理和社会工作等多个学科角度关注老年乳腺癌患者管理的文章。这类患者群体从诊断之时起,在整个治疗过程以及康复期间都需要跨专业协作。因此,我们建议设立一个专门用于治疗老年乳腺癌女性的跨学科项目,以优化她们的癌症护理。