Non-Melanoma Skin Cancers in the Older Patient

被引:26
作者
Albert, Ashley [1 ]
Knoll, Miriam A. [2 ]
Conti, John A. [3 ]
Zbar, Ross I. S. [4 ]
机构
[1] Univ Mississippi, Med Ctr, Dept Radiat Oncol, 2500 N State St, Jackson, MS 39216 USA
[2] John Theurer Canc Ctr, Dept Radiat Oncol, 92 2nd St, Hackensack, NJ 07601 USA
[3] Hackensack Meridian Hlth Mountainside Med Ctr, Canc Program, 1 Bay Ave, Montclair, NJ 07042 USA
[4] Hackensack Meridian Hlth Mountainside, Div Plast Surg, 1 Bay Ave, Glen Ridge, NJ 07028 USA
关键词
Non-melanoma skin cancer; Geriatric oncology; Skin cancer; Surgery; Radiation therapy; Radiotherapy; MOHS MICROGRAPHIC SURGERY; SQUAMOUS-CELL CARCINOMA; QUALITY-OF-LIFE; BASAL-CELL; ELDERLY-PATIENTS; DERMATOLOGICAL SURGERY; PROGNOSTIC-FACTORS; SURGICAL MARGINS; RISK; RADIOTHERAPY;
D O I
10.1007/s11912-019-0828-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose of ReviewThe incidence of non-melanomatous skin cancer (NMSC) increases with age and there are specific considerations regarding management of NMSC for the older patient population. Here we will review current data regarding treatment considerations and options for older patients with NMSC.Recent FindingsHypofractionated regimens and high-dose brachytherapy may be non-surgical treatment options for older patients with NMSC. Other less aggressive strategies such as active surveillance can also be considered in some settings.SummaryManagement of NMSC in the older patient population requires a thorough assessment of comorbidities, frailty, and life expectancy. Additionally, discussions regarding goals of care and quality of life (QOL) issues are especially important in this population. Older patients with NMSC in particular may benefit from a tailored treatment plan based on current available data rather than a broad application of general treatment guidelines for NMSC.
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页数:9
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