By Arash Naeim MD PhD, David Reuben MD, Patricia Ganz
Administration of melanoma within the Older sufferer, by way of Drs. Arash Naeim, David Reuben, and Patricia Ganz, bargains the assistance you must successfully diagnose, refer, and deal with melanoma in geriatric sufferers. you will see find out how to supply potent melanoma screening; refer your sufferers to the ideal oncologist; take care of comorbidities, frailties, and different issues; navigate end-of-life matters; and lots more and plenty extra. A templated, uncomplicated layout, either in print and on-line at www.expertconsult.com, makes it effortless to discover and follow the solutions you wish. See the best way to most sensible deal with geriatric melanoma sufferers with support from prime experts in either geriatrics and oncology Make knowledgeable judgements as to while to refer sufferers to experts. give you the supportive care your sufferers and their households desire on concerns resembling corresponding to psychological wellbeing and fitness, discomfort, fatigue, nausea, insomnia, nutri Be ready to assist melanoma survivors navigate their after-treatment care together with adjuvant remedy, unwanted effects, moment cancers, caliber of lifestyles, and different issues. provide actual tips on moral concerns like competency, finish of existence, hospice, the position of the caregiver, and extra entry the full contents on-line at www.expertconsult.comThe sensible assistance you want to diagnose, recognize while to refer, and deal with the on-going care of older sufferers with melanoma
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Additional resources for Management of Cancer in the Older Patient
Yancik R, Ershler W, Satariano W, et al: Report of the National Institute on Aging task force on comorbidity, J Gerontol A Biol Sci Med Sci 62:275–280, 2007. CHAPTER 2 Cancer Screening and Prevention in the Older Patient Jennifer M. Croswell and Barnett S. Kramer C A S E 2 - 1 CASE DESCRIPTION A husband and wife, aged 76 and 77, respectively, are new patients to a medical practice. The wife mentions that along with having seen multiple direct-to-consumer promotions emphasizing the importance of “healthy living” and the role of early detection in cancer, they recently watched a close friend die of prostate cancer.
Because of these observations, raloxifene was directly compared with tamoxifen in the previously mentioned STAR trial. The effects of raloxifene on the risk of invasive cancers observed in the STAR trial were similar to tamoxifen and restricted to ER-positive tumors. However, unlike tamoxifen, raloxifene appeared to have little or no preventive effect on noninvasive tumors. The toxicity profiles between the two drugs differ in important ways. Raloxifene has a lower incidence of thromboembolic events and tends toward fewer endometrial cancers in women with uteri.
Ershler WB: Cancer: a disease of the elderly, J Support Oncol 1:5–10, 2003. Extermann M: Interaction between comorbidity and cancer, Cancer Control 14:13–22, 2007. C, 2007, Institute of Medicine and National Research Council of the National Academies. National Center for Health Statistics: Health, United States, 2008 With Chartbook, Hyattsville, MD, 2009, National Center for Health Statistics. Irminger-Finger I: Science of cancer and aging, J Clin Oncol 25:1844–1851, 2007. Jemal A, Siegel R, Ward E, et al: Cancer statistics, 2009, CA Cancer J Clin 59:225–249, 2009.