Adjuvant therapy in breast cancer - Optimal use in the elderly

被引:3
|
作者
Plowman, PN
机构
[1] Breast Unit, Dept. of Radiother./Clin. Oncology, St. Bartholomew's Hospital, London
[2] Dept. of Radiother./Clin. Oncology, St. Bartholomew's Hospital, West Smithfield
关键词
D O I
10.2165/00002512-199609030-00004
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Breast conservation surgery may replace mastectomy in patients with small, localised breast tumours of up to 4cm in diameter. Clear surgical margins (microscopically defined) are desirable. Radiotherapy to the conserved breast is recommended for all patients, although it may be relatively safe to withhold it in some better-risk T-1 patients. This decision must frequently be taken in the elderly and infirm. Adjuvant tamoxifen has an established place in the systemic management of all elderly patients with invasive breast cancer. In contrast, adjuvant chemotherapy has no established role in the elderly.
引用
收藏
页码:185 / 190
页数:6
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