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Breast cancer and aging. Clinical interactions
1Department of Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Hematology/Oncology Clinics of North America
|February 19, 2000
Summary
Breast cancer incidence rises with age, impacting the growing geriatric population. Older women with a life expectancy over 5 years should continue screening mammography and receive standard treatment options if healthy.
Area of Science:
- Oncology
- Geriatric Medicine
Background:
- Breast cancer incidence and mortality increase with age.
- The aging population and rising number of comorbidities in older adults present unique challenges for breast cancer management.
- Comorbidities significantly impact treatment tolerance and decision-making.
Purpose of the Study:
- To review the management of breast cancer in the geriatric population.
- To emphasize the importance of age-specific considerations in breast cancer treatment decisions.
Main Methods:
- Review of current literature and guidelines regarding breast cancer in older adults.
- Analysis of factors influencing treatment decisions, including life expectancy and comorbidities.
Main Results:
- Screening mammography can be beneficial for women with a life expectancy exceeding 5 years.
- Treatment choices should be individualized based on patient preference, comorbidities, and ability to tolerate procedures.
- Otherwise healthy older women should generally be offered the same treatment options as younger postmenopausal women.
Conclusions:
- Age-appropriate breast cancer screening and treatment are crucial for the growing geriatric population.
- Individualized treatment plans considering life expectancy and comorbidities are essential for optimal outcomes in older women with breast cancer.