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Chapter 38 - Cancer in the elderly

from Section III - Care of the elderly by organ system

Published online by Cambridge University Press:  05 June 2016

Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Cancer is one of the leading causes of mortality and morbidity in the developed world. Age is a primary risk factor for developing cancer, and geriatric oncology is a rapidly emerging field which aims to address the needs of older cancer patients. The four most common solid tumors encountered in elderly patients are breast, prostate, colorectal, and lung cancer. All clinicians who deal with elderly patients should have knowledge of cancer risks, screening, and management principles. When evaluating cancer patients, the first issue to address is life expectancy exclusive of the cancer diagnosis. After estimating life expectancy and completing a geriatric assessment, the goals and options of cancer treatment can be better defined. Final decision-making should be patient-centered, with the patient’s (and the family, if appropriate) choice taking precedence
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Reichel's Care of the Elderly
Clinical Aspects of Aging
, pp. 537 - 563
Publisher: Cambridge University Press
Print publication year: 2016

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