A Prospective Monocentric Study of Invasive Breast Carcinoma Diagnosed at 80 Years and Older: Survival Outcomes and Peculiar Challenges DOI Open Access
Donatella Gambini, Valentina Veronesi, Luca Despini

et al.

Cancers, Journal Year: 2024, Volume and Issue: 16(24), P. 4142 - 4142

Published: Dec. 12, 2024

Background: The lengthening of the lifespan led to an increase in breast cancer (BC) diagnosed very old age, but treatment recommendations this patient group usually lack evidence-based practice. We conducted a prospective observational monocentric study specifically targeting patients with invasive BC at 80 years age or older. Methods: enrolled 88 consecutively observed for new diagnosis aim was investigate progression-free (PFS) and overall survival (OS), long follow-up period, along clinico-pathological characteristics population. Results: At end 5-year follow-up, estimated OS PFS probabilities were 82.9% (95% CI: 71.3–95.3%) 64.0% 51.7–79.2%), respectively. After 8.5 from diagnosis, 48.9% died. cause death 32.6% patients, different 13.9%, unknown remaining. Surgery performed 69.3% cases associated improved 12-month (p < 0.001). Adjuvant systemic therapy radiotherapy omitted 32% 93% eligible A higher rate metastatic disease comparison data described younger people, as well significantly high drop-out (27.3%). Conclusions: Ultra-old have not negligible life expectancy; therefore, oncologic should be optimal adequately fight BC, always considering quality these frail patients. Future research focus on developing personalized protocols that incorporate comprehensive geriatric assessments quality-of-life metrics. Additionally, larger, multicentric studies are needed validate our findings explore role emerging therapies group.

Language: Английский

Better-Defined Morbidity of Sentinel Lymph Node Biopsy in Patients with Melanoma DOI
Michael Gonzales, Kent Grosh, Samuel Coster

et al.

Annals of Surgical Oncology, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 13, 2025

Language: Английский

Citations

0

Downstream Effects of Omission of Axillary Surgery in Older Adults with Early-Stage HR+/HER2− Breast Cancer DOI

Eliza H. Lorentzen,

Kenny Nguyen, Yu-Jen Chen

et al.

Annals of Surgical Oncology, Journal Year: 2025, Volume and Issue: unknown

Published: March 21, 2025

Language: Английский

Citations

0

Impact of sentinel lymph node biopsy on management of older women with clinically node-negative, early-stage, ER+/HER2-, invasive breast cancer: a systematic review and meta-analysis DOI Creative Commons
Gordon R. Daly, Gavin P. Dowling,

Mohammad Said

et al.

Clinical Breast Cancer, Journal Year: 2024, Volume and Issue: 24(8), P. e681 - e688.e1

Published: Aug. 8, 2024

Language: Английский

Citations

1

Implementation of Choosing Wisely guidelines: Omission of lymph node surgery DOI
Jenna N. Whitrock, Catherine G. Pratt,

Szu-Aun Long

et al.

Surgery, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 1, 2024

Language: Английский

Citations

1

A Prospective Monocentric Study of Invasive Breast Carcinoma Diagnosed at 80 Years and Older: Survival Outcomes and Peculiar Challenges DOI Open Access
Donatella Gambini, Valentina Veronesi, Luca Despini

et al.

Cancers, Journal Year: 2024, Volume and Issue: 16(24), P. 4142 - 4142

Published: Dec. 12, 2024

Background: The lengthening of the lifespan led to an increase in breast cancer (BC) diagnosed very old age, but treatment recommendations this patient group usually lack evidence-based practice. We conducted a prospective observational monocentric study specifically targeting patients with invasive BC at 80 years age or older. Methods: enrolled 88 consecutively observed for new diagnosis aim was investigate progression-free (PFS) and overall survival (OS), long follow-up period, along clinico-pathological characteristics population. Results: At end 5-year follow-up, estimated OS PFS probabilities were 82.9% (95% CI: 71.3–95.3%) 64.0% 51.7–79.2%), respectively. After 8.5 from diagnosis, 48.9% died. cause death 32.6% patients, different 13.9%, unknown remaining. Surgery performed 69.3% cases associated improved 12-month (p < 0.001). Adjuvant systemic therapy radiotherapy omitted 32% 93% eligible A higher rate metastatic disease comparison data described younger people, as well significantly high drop-out (27.3%). Conclusions: Ultra-old have not negligible life expectancy; therefore, oncologic should be optimal adequately fight BC, always considering quality these frail patients. Future research focus on developing personalized protocols that incorporate comprehensive geriatric assessments quality-of-life metrics. Additionally, larger, multicentric studies are needed validate our findings explore role emerging therapies group.

Language: Английский

Citations

0