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Geriatric Oncology, An Issue of Clinics in Geriatric Medicine

Geriatric Oncology, An Issue of Clinics in Geriatric Medicine

Richard Rosenbluth

(2012)

Additional Information

Book Details

Abstract

This issue serves as a comprehensive review and update in the management of the geriatric cancer patient. Topics covered include: Cancer and Aging, Comprehensive Geriatric Assessment, Breast Cancer in the Elderly, Solid Tumors in the Elderly, Radiation Therapy with the Elderly, Liquid Tumors in the Elderly, Nursing and Palliation of Elderly Cancer Patients, Ethics and Religion in Care of the Elderly, and Surgery in the Elderly.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Clinics in Geriatric Medicine i
Copyright Page ii
Table of Contents v
Contributors iii
Preface ix
Chapter 1. Cancer and Age: General Considerations 1
AGING AND CARCINOGENESIS 1
CLINICAL PRESENTATION 3
PREVENTION 5
TREATMENT 7
SUMMARY 14
REFERENCES 15
Chapter 2. Comprehensive Geriatric Assessment and Its Clinical Impact in Oncology 19
RECOGNIZING UNSUSPECTED HEALTH PROBLEMS 19
PREDICTING OUTCOMES 23
IMPLEMENTING A MULTIDISCIPLINARY INTERVENTION 25
FEASIBILITY OF CGA 29
SUMMARY 29
REFERENCES 29
Chapter 3. Management of Cancer in the Older Adult 33
BIOLOGY OF CANCER IN THE ELDERLY 33
DECISION-MAKING FOR TREATMENT IN THE OLDER CANCER PAT 35
PHYSIOLOGIC CHANGES WITH AGING 35
COMPREHENSIVE GERIATRIC ASSESSMENT 35
LUNG CANCER 37
PROSTATE CANCER 39
BLADDER CANCER 41
RENAL CELL CANCER 42
COLORECTAL CANCER 42
UPPER GI TRACT CANCERS 43
SUPPORTIVE CARE 44
SUMMARY 44
REFERENCES 44
Chapter 4. Principles of Surgical Oncology in the Elderly 51
COMPREHENSIVE GERIATRIC ASSESSMENT IN CANCER 52
BREAST CANCER 53
HEAD AND NECK CANCERS 55
ESOPHAGOGASTRIC CANCER 57
COLORECTAL CANCER 58
SUMMARY 62
REFERENCES 62
Chapter 5. Early Breast Cancer in the Older Woman 73
BREAST CANCER BIOLOGY IN THE OLDER WOMAN 73
TREATMENT PATTERNS IN OLDER ADULTS WITH BREAST CANCER 74
TREATMENT 75
FOLLOW-UP OF THE OLDER WOMAN WITH BREAST CANCER 81
INTEGRATING GERIATRIC PRINCIPLES INTO ONCOLOGY TREATMENT DECISIONS 83
SUMMARY 84
REFERENCES 84
Chapter 6. Ethical Dilemmas in Elderly Cancer Patients: A Perspective From the Ethics of Care 93
AGING AND CANCER 94
CANCER CARE IN THE ELDERLY 96
FROM MEDICAL ETHICS TO ETHICS OF CARE 98
SUMMARY 102
REFERENCES 102
Chapter 7. The Use of Radiation Therapy in the Geriatric Population 105
BASICS OF RADIATION DELVERY 105
GENERAL CONSIDERATIONS REGARDING THE USE OF RADIATION THERAPY IN THE ELDERLY 106
POTENTIAL DIFFICULTIES IN TREATMENT OF THE GERIATRIC POPULATION WITH RADIATION THERAPY 106
RECENT ADVANCES IN RADIATION THERAPY PLANNING AND DELIVERY 107
SITE-SPECIFIC CONSIDERATIONS 108
RECENT EFFORTS AT EVALUATING USE OF RADIATION THERAPY IN THE ELDERLY 109
MORE RECENT SITE-SPECIFIC STUDIES 110
OTHER OBSERVATIONAL STUDIES OF INTEREST 111
SUMMARY 112
REFERENCES 112
Chapter 8. Liquid Tumors in the Elderly 115
ACUTE LEUKEMIA MANAGEMENT IN GERIATRIC MEDICINE 115
LYMPHOMA MANAGEMENT IN GERIATRIC MEDICINE 120
MULTIPLE MYELOMA MANAGEMENT IN THE GERIATRIC MEDICINE 133
REFERENCES 140
Index 153