Breast cancer in older women
Breast cancer in older women is a major national health concern. Over 50% of breast cancers are diagnosed in women older than age 65, a quickly growing segment of our population. Healthy older women should be offered 'state of the art' screening and treatment for breast cancer. This includes mammography, surgery, radiation therapy, and adjuvant therapy for early stage tumors. Clinical trials focusing on the role of adjuvant treatment in older women with breast cancer are of paramount importance. In older women with other comorbid conditions that may limit survival or jeopardize surgical outcomes, primary treatment with tamoxifen or adjuvant therapy with tamoxifen alone after surgery may be warranted. Outside of the clinical trials setting, metastatic disease should be treated similarly in all age groups.
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