Multidisciplinary management of breast cancer in a 103 years old patient: The ultimate "primum non nocere " challenge

Multidisciplinary management of breast cancer in a 103 years old patient: the ultimate "primum non nocere " surgical challenge. Breast cancer in older individuals is increasingly encountered in clinical practice as the mean age of the world population increases. Underestimation of life expectancy and fitness for therapy might result in age-related undertreatment. We report the case of a 103 years old woman affected by breast cancer. Multidisciplinary team work proved to be once again fundamental in the decision making process leading to the surgical operation of right breast central quadrantectomy performed in loco-regional anesthesia. To date, as far as we know, this is the oldest patient surgically treated for breast cancer.