Endometrial cancer in elderly patients

Valentino Martelli, Fabio Barra, Simone Ferrero, Alessio Nencioni

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Endometrial cancer (EC) has an important impact on the elderly population, being estimated that 40% of patients who receive its diagnosis are aged 65 or older, and 67% of related deaths occur in patients over 65. Moreover, EC is expected to increase in prevalence with an increasingly aged and obese population. A large number of explanations have been offered to explain the increased cancer-specific death rate of geriatric patients, including not only increased comorbidities and a relatively common under-treatment, but also a more advanced disease stage at diagnosis, a higher tumor grade, and a more aggressive tumor biology. Older patients with EC should be assessed for their fitness before receiving any type of surgical and medical treatment. The involvement of the patients’ primary care gynecologist and geriatrician helps to provide a better evaluation both of overall fitness and the care goals of geriatric patients. The aim of this chapter is to discuss the steps in the diagnosis of EC in the elderly, the approaches to its treatment, and the role of geriatric assessment in the management of these patients.

Original languageEnglish
Title of host publicationEndometrial Cancer
Subtitle of host publicationRisk Factors, Management and Prognosis
PublisherNova Science Publishers, Inc.
Pages289-300
Number of pages12
ISBN (Electronic)9781536138887
ISBN (Print)9781536138870
Publication statusPublished - Jan 1 2018

    Fingerprint

Keywords

  • Comprehensive geriatric assessment
  • Drug therapy
  • Geriatric oncology
  • Performance status
  • Prediction of toxicity
  • Rockwood frailty index

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Martelli, V., Barra, F., Ferrero, S., & Nencioni, A. (2018). Endometrial cancer in elderly patients. In Endometrial Cancer: Risk Factors, Management and Prognosis (pp. 289-300). Nova Science Publishers, Inc..