Gastric Cancer in the Elderly
Gastric cancer is the fourth most common cancer worldwide and the second leading cause of cancer death, representing a major contributor to the global health cancer burden. In the Western world, gastric cancer has been on the decline overall but remains a significant risk factor in the elderly population. This chapter will review the epidemiology, diagnosis, and treatment of gastric cancer in the elderly. Emphasis will be placed on landmark clinical trials which guide current surgical management and perioperative therapy decision-making. Up-to-date management recommendations from the National Comprehensive Cancer Network (NCCN) and European Society for Medical Oncology (ESMO) will be integrated in the discussion. Special focus will be given to issues relating to advanced age and how these issues impact decision-making for oncologists managing this growing patient population.
