老年人乳腺癌。

Breast Cancer in the Elderly.

机构信息

Department of Surgery, University of California, San Francisco, 1600 Divisadero Street, Second Floor, Box 1710, San Francisco, CA 94115, USA.

出版信息

Surg Clin North Am. 2018 Aug;98(4):819-833. doi: 10.1016/j.suc.2018.04.002. Epub 2018 May 21.

DOI:10.1016/j.suc.2018.04.002

PMID:30005776

Abstract

With increasing life expectancy and growth of the elderly US population, it becomes paramount that breast cancer research focuses more on the prevention, screening, and treatment of these patients. Age is no longer a cutoff for managing breast cancer in the elderly. Studies have shown the current undertreatment of cancer undermines survival, but the tide is turning to provide evidence-based medicine for the elderly. More often, clinicians and surgeons look not only at tumor-specific characteristics of breast cancer but also the functionality, tolerance, comorbidities, and life expectancy of patients to determine the best treatment.

摘要

随着美国人预期寿命的延长和老年人口的增长，乳腺癌研究的重点必须更多地放在这些患者的预防、筛查和治疗上。年龄不再是老年人管理乳腺癌的界限。研究表明，目前对癌症的治疗不足会影响生存，但这种情况正在转变为为老年人提供基于证据的医学治疗。越来越多的临床医生和外科医生不仅关注乳腺癌的肿瘤特异性特征，还关注患者的功能、耐受性、合并症和预期寿命，以确定最佳治疗方案。