早期乳腺癌老年患者的化疗
Marcus Schmidt1, Sibylle Loibl2
1Department of Obstetrics and Gynecology, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Breast (Edinburgh, Scotland)
|October 15, 2024
概括
对于早期患有乳腺癌的老年妇女来说,化疗与内分泌疗法一起提供了有限的益处,特别是对于激素受体阳性,HER2-阴性瘤. 个性化治疗决策应仔细权衡风险和益处.
科学领域:
- 在瘤学瘤学.
- 老年医学 老年医学
- 临床药理学 临床药理学
背景情况:
- 乳腺癌发病率随着年龄的增长而上升,这在老龄化人口中带来了重大挑战.
- 老年患者的治疗决策涉及复杂的因素:瘤生物学,复发风险,并发病,虚弱,预期寿命和患者偏好.
- 目前的治疗指南通常依赖于对年轻人,精选人群的研究,需要对老年人进行具体评估.
研究的目的:
- 审查有关化疗在早期乳腺癌老年妇女疗效的证据.
- 将化疗决策置于老年评估和HR阳性,HER2阴性早期乳腺癌风险评估的背景下.
- 为老年患者提供个性化,基于证据的治疗建议.
主要方法:
- 关于老年乳腺癌患者化疗现有文献的叙事综述.
- 对专注于早期乳腺癌老年人群的研究进行分析.
- 结合发现与老年医学评估和风险分层的原则.
主要成果:
- 患有HR阳性,HER2阴性早期乳腺癌的老年患者,除了内分泌治疗外,化学疗法对化学疗法的益处很小.
- 在这个小组中,化疗需要对潜在的益处与危害进行批判性评估.
- 标准化疗不应放弃,如果在全面评估后临床上有指示.
结论:
- 对于HR阳性,HER2阴性早期乳腺癌的老年妇女,化疗决策必须高度个性化.
- 平衡治疗的好处和危害至关重要,考虑到患者特定的因素.
- 老年人的评估和风险评估对于明智的治疗建议至关重要.
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