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Head and neck cancer in the elderly
The Journal of Otolaryngology
|August 1, 1986
Summary
Head and neck cancer incidence is high in the elderly, but survival rates are similar to younger patients. Improved management strategies in anesthesia, reconstruction, chemotherapy, and radiotherapy can enhance outcomes for older adults with this malignancy.
Area of Science:
- Oncology
- Geriatrics
Background:
- The elderly population is growing, with a high incidence of head and neck cancer.
- This demographic presents unique challenges in cancer management.
Purpose of the Study:
- To review head and neck cancer cases in the elderly population.
- To analyze disease prevalence, site distribution, and survival rates.
- To examine special considerations for managing head and neck cancer in older patients.
Main Methods:
- Retrospective review of 758 head and neck cancer cases at the London Regional Cancer Clinic.
- Analysis focused on elderly patients, comparing their outcomes to younger counterparts.
- Evaluation of management aspects including anesthesia, reconstruction, wound healing, chemotherapy, and radiotherapy.
Main Results:
- Head and neck cancer shows a high prevalence in the elderly.
- Specific sites exhibit unique distribution patterns in this age group.
- Survival rates for elderly patients were comparable to those of younger patients.
Conclusions:
- Elderly patients with head and neck cancer have similar survival to younger patients.
- Specialized management considerations are crucial for this demographic.
- Improvements in anesthesia, reconstruction, wound healing, chemotherapy, and radiotherapy can enhance outcomes for elderly patients with head and neck malignancy.