Cancer in the elderly: pancreatic cancer

被引:51
作者
Shore, S [1 ]
Vimalachandran, D [1 ]
Raraty, MGT [1 ]
Ghaneh, P [1 ]
机构
[1] Univ Liverpool, Div Surg & Oncol, Liverpool L69 3GA, Merseyside, England
来源
SURGICAL ONCOLOGY-OXFORD | 2004年 / 13卷 / 04期
关键词
pancreatic cancer; elderly; specialist centre;
D O I
10.1016/j.suronc.2004.11.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Pancreatic cancer remains a devastating and difficult disease to diagnose and successfully treat. Its incidence increases with age, with 60% of patients being over the age of 65 at presentation. Due to the insidious nature and asymptomatic onset of pancreatic cancer approximately 85% of patients present with disseminated or locally advanced disease resulting in a very poor prognosis. In the past the elderly patient, who may be felt to be too frail for operative procedures or further therapy. may have missed out on optimal treatment. In this article we review the investigation and treatment of pancreatic cancer and examine current evidence with regard to pancreatic cancer in the elderly. The evidence suggests that surgical resection can be performed safely in patients who are fit for surgery in specialist centres but may require more intensive post-operative rehabilitation. (C) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:201 / 210
页数:10
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