MacDonald Taylor, Krishnan Vignesh, Wilson William Alexander
University of Pikeville College of Osteopathic Medicine, Pikeville, KY 41501, USA.
Capital University, Bexley, OH 43209, USA.
Transl Cancer Res. 2020 Jan;9(Suppl 1):S110-S115. doi: 10.21037/tcr.2019.08.03.
Metastatic breast cancer in the elderly encompasses a group of patients with worse cancer-specific survival and more barriers to care than their non-elderly counterparts. Metastatic breast cancer has a longer natural history than many other common metastatic solid tumors. Palliative care access in this group is thus affected by increased need from (I) more aggressive disease status with more severe symptoms, (II) increased barriers to care, (III) more patients living with the disease than other metastatic solid tumors, and (IV) increased incidence of breast cancer as compared to other solid tumors. This review outlines the rationale for outpatient palliative care, the needs for this specific population of cancer patients, and the barriers that the medical community faces in providing palliative care access for these patients.
老年转移性乳腺癌患者群体的癌症特异性生存率较低，与非老年患者相比，其在医疗护理方面面临更多障碍。与许多其他常见的转移性实体瘤相比，转移性乳腺癌的自然病程更长。因此，该群体的姑息治疗可及性受到以下因素影响：（I）疾病状态更具侵袭性，症状更严重，需求增加；（II）医疗护理障碍增加；（III）与其他转移性实体瘤相比，患该疾病的患者更多；（IV）与其他实体瘤相比，乳腺癌发病率增加。本综述概述了门诊姑息治疗的基本原理、这类特定癌症患者群体的需求，以及医学界在为这些患者提供姑息治疗可及性方面面临的障碍。
