关于结直肠癌老年患者管理的最新情况
Gemma Soler-González1, Javier Sastre-Valera2, Antonio Viana-Alonso3
1Departamento de Oncología Médica, Spanish Society of Medical Oncology (SEOM) Oncogeriatrics Section, Institut Català d'Oncologia (ICO) L'Hospitalet, Avinguda de la Granvia de l'Hospitalet 199-203, L'Hospitalet de Llobregat, 08908, Barcelona, Spain. gsoler@iconcologia.net.
患有结直肠癌的老年人需要个性化治疗. 老年人的评估对于管理毒性和改善老年CRC患者的存活率至关重要.
科学领域:
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
- 胃肠病学 胃肠病学
背景情况:
- 结肠直肠癌 (CRC) 不成比例地影响65岁以上的个体,但在临床试验中通常代表性不足.
- 对于治疗老年CRC患者的科学证据有限,需要专家审查和准则的制定.
研究的目的:
- 对老年患者结直肠癌 (CRC) 治疗的现有科学证据进行审查.
- 为老年人群管理CRC提供专家建议,强调多学科和个性化的方法.
主要方法:
- 关于患有结直肠癌 (CRC) 的老年患者的科学证据的全面审查.
- 由来自西班牙领先的瘤学和消化癌症团体的多学科专家小组制定建议.
主要成果:
- 建议进行老年学评估 (GA),以预测毒性和生存率,帮助老年CRC患者做出个性化治疗决策.
- 建议对老年人局部CRC进行标准癌症切除,最好是腹腔镜切除.
- 辅助化疗 (CT) 决策应该权衡潜在的益处与复发风险,预期寿命和并发症.
- 对于转移性CRC,应考虑包括手术,射频 (RF) 和立体体辐射疗法 (SBRT) 在内的激进治疗选择.
- 息CT疗效与年轻患者相似,但老年人面临更高的毒性风险.
结论:
- 综合老年评估 (GA) 的多学科方法对于优化老年患者结直肠癌 (CRC) 治疗至关重要.
- 基于GA,并发症和预期寿命的治疗个性化是老年人治疗CRC的关键.
- 未来的临床试验必须包括老年人群,老年评估和量身定制的治疗计划,以改善基于证据的护理.
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