Controversial issues in the management of older adults with early breast cancer

Mislang, Anna Rachelle and Cheung, Kwok-Leung and Hamaker, Marije E. and Kunkler, Ian and Markopoulos, Christos and Orecchia, Roberto and Brain, Etienne and Biganzoli, Laura (2017) Controversial issues in the management of older adults with early breast cancer. Journal of Geriatric Oncology . ISSN 1879-4068

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Abstract

It is well recognized that the incidence of breast cancer increases significantly with age. Despite this, older people remain under-represented in many clinical trials and their management relies on extrapolation of data from younger patients. Providing an aggressive intervention can be challenging, particularly in less fit older patients where a conservative approach is commonly perceived to be more appropriate. The optimal management of this population is unknown and treatment decision should be personalized. This review article will discuss several controversial issues in managing older adults with early breast cancer in a multidisciplinary setting, including the role of surgical treatment of the axilla in clinically node negative disease, radiotherapy after breast conservation surgery in low-risk tumours, personalizing adjuvant systemic therapy, and geriatric assessments in breast cancer treatment decisions.

Item Type: Article
Keywords: Older adults ; Early breast cancer ; Surgery ; Radiotherapy Chemotherapy ; Geriatric assessment
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine
Identification Number: 10.1016/j.jgo.2017.05.004
Depositing User: Eprints, Support
Date Deposited: 25 Aug 2017 09:56
Last Modified: 25 Aug 2017 12:51
URI: http://eprints.nottingham.ac.uk/id/eprint/45140

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