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Erschienen in: Current Breast Cancer Reports 2/2018

04.05.2018 | Local-Regional Evaluation and Therapy (DM Euhus, Section Editor)

Individualizing Local-Regional Therapy of Breast Cancer in the Elderly

verfasst von: Apoorve Nayyar, Trevor A. Jolly, Ellen T. Jones, Kandace P. McGuire, Hyman B. Muss, Kristalyn K. Gallagher

Erschienen in: Current Breast Cancer Reports | Ausgabe 2/2018

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Abstract

Purpose of Review

The treatment of breast cancer in the elderly population requires a tailored approach. We summarize the current best evidence for personalized local-regional therapy in breast cancer patients older than 70.

Recent Findings

Breast cancer treatment in older adults incorporates the use of geriatric assessment tools to best evaluate functional status and treatment tolerability while accounting for the biologic profile of the disease. Surgical resection of the primary tumor with lymph node evaluation remains the cornerstone of local-regional control. Recent clinical trials demonstrate that surgery and radiation therapy may, however, be safely omitted in selected patients who are eligible for primary endocrine therapy. In patients with high-risk node-positive disease, DFS can be improved by systemic chemotherapy, but potential toxicity should be carefully considered in this population.

Summary

Patient-specific evaluation of the risks of both under- and over-treatment of breast cancer in the older adult is essential for delivering optimal care in this population.
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Metadaten
Titel
Individualizing Local-Regional Therapy of Breast Cancer in the Elderly
verfasst von
Apoorve Nayyar
Trevor A. Jolly
Ellen T. Jones
Kandace P. McGuire
Hyman B. Muss
Kristalyn K. Gallagher
Publikationsdatum
04.05.2018
Verlag
Springer US
Erschienen in
Current Breast Cancer Reports / Ausgabe 2/2018
Print ISSN: 1943-4588
Elektronische ISSN: 1943-4596
DOI
https://doi.org/10.1007/s12609-018-0272-0

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