Oncologic considerations in the elderly. Issue 1 (February 2018)
- Record Type:
- Journal Article
- Title:
- Oncologic considerations in the elderly. Issue 1 (February 2018)
- Main Title:
- Oncologic considerations in the elderly
- Authors:
- Kamel, Mohamed K.
Port, Jeffrey L. - Abstract:
- Abstract : Purpose of review: Elderly patients presenting with thoracic malignancies tend to be largely undertreated because of a presumption that this group will incur a high treatment-associated morbidity and mortality. The current review highlights the current practice and recent updates in the surgical management of thoracic malignancies, mainly lung cancer, in the elderly population. Recent findings: Lung resections appears to be relatively safe in the elderly patients presenting with lung cancer. Whenever possible, a lobectomy should be offered to patients with a good performance status who present with early stage disease. However, a limited resection may offer a valuable comparable alternative in patients with advanced comorbidities and borderline pulmonary functions. The use of minimally invasive approaches, namely video-assisted thoracoscopic surgery and robotic surgery are associated with lower morbidity and improved perioperative outcomes compared with the traditional thoracotomy approach and are ideal for the aged. In elderly patients presenting with advanced staged lung cancer, major lung resections following induction therapy, although feasible, should be discussed in a multispecialty tumor board committee. Summary: There is growing evidence from the literature that surgical resection is relatively safe in the elderly population. Age by itself should not preclude patients from having curative resection. Resections can be tailored to performance status of theAbstract : Purpose of review: Elderly patients presenting with thoracic malignancies tend to be largely undertreated because of a presumption that this group will incur a high treatment-associated morbidity and mortality. The current review highlights the current practice and recent updates in the surgical management of thoracic malignancies, mainly lung cancer, in the elderly population. Recent findings: Lung resections appears to be relatively safe in the elderly patients presenting with lung cancer. Whenever possible, a lobectomy should be offered to patients with a good performance status who present with early stage disease. However, a limited resection may offer a valuable comparable alternative in patients with advanced comorbidities and borderline pulmonary functions. The use of minimally invasive approaches, namely video-assisted thoracoscopic surgery and robotic surgery are associated with lower morbidity and improved perioperative outcomes compared with the traditional thoracotomy approach and are ideal for the aged. In elderly patients presenting with advanced staged lung cancer, major lung resections following induction therapy, although feasible, should be discussed in a multispecialty tumor board committee. Summary: There is growing evidence from the literature that surgical resection is relatively safe in the elderly population. Age by itself should not preclude patients from having curative resection. Resections can be tailored to performance status of the patient. … (more)
- Is Part Of:
- Current opinion in anaesthesiology. Volume 31:Issue 1(2018:Feb.)
- Journal:
- Current opinion in anaesthesiology
- Issue:
- Volume 31:Issue 1(2018:Feb.)
- Issue Display:
- Volume 31, Issue 1 (2018)
- Year:
- 2018
- Volume:
- 31
- Issue:
- 1
- Issue Sort Value:
- 2018-0031-0001-0000
- Page Start:
- Page End:
- Publication Date:
- 2018-02
- Subjects:
- elderly -- lung cancer -- surgery
Anesthesiology -- Periodicals
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Anesthesiology -- Periodicals
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Review Literature -- Periodicals
Anesthesiology
Periodicals
617.9605 - Journal URLs:
- http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=toc&D=ovft&AN=00001503-000000000-00000 ↗
http://www.co-anesthesiology.com/ ↗
http://journals.lww.com/pages/default.aspx ↗
http://firstsearch.oclc.org ↗ - DOI:
- 10.1097/ACO.0000000000000545 ↗
- Languages:
- English
- ISSNs:
- 0952-7907
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 3500.772000
British Library DSC - BLDSS-3PM
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- 9032.xml