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Elderly patients with colon cancer: a medical oncologist’s perspective.


Authors: MUDr. Jindřich Kopecký, Ph.D. 1;  MUDr. Peter Priester 1;  MUDr. Veronika Molnárová 1;  MUDr. Petronela Trojanová 1;  MUDr. Ondřej Kubeček 1;  doc. MUDr. Ladislav Slováček, Ph.D. 2,3;  doc. MUDr. Otakar Kopecký, CSc. 4
Authors‘ workplace: Klinika onkologie a radioterapieLF UK a FN Hradec Králové 1;  ordinace praktického lékaře pro dospělé, Poliklinika IV, Hradec Králové – Věkoše 2;  ambulance léčby chronické bolesti a paliativní medicíny MUDr. Eva Richterová –HK, s. r. o., Hradec Králové 3;  oddělení klinické onkologie a oddělení klinické mikrobiologie, Oblastní nemocnice Náchod a. s. 4
Published in: Geriatrie a Gerontologie 2016, 5, č. 2: 65-69
Category: Review Article

Overview

There is a trend of increasing colon cancer incidence and prevalence accross developed countries. More than a half of all newly diagnosed patients are 65 years old or more. Considering the evolution of demographic curve, the treatment of colon cancer in elderly patients is becoming an emerging issue. Geriatric patients with colon cancer represent a heterogeneous group. Each patient should therefore be approached individually and discussed within multidisciplinary boards. The treatment strategy of geriatric patients with colon cancer depends on multiple factors including performance status of the patient, presence of comorbidities, life expectancy, risks arising from both, cancer and the treatment itself, and last but not least preferences of the patient. The following article presents a medical oncologist‘s perspective.

KEYWORDS:
colon cancer – geriatrics – adjuvant treatment – medical oncology


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