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Traitement des carcinomes épidermoïdes ORL chez la personne âgée

Published in Revue médicale suisse. 2015, vol. 11, no. 488, p. 1803-1807
Abstract We compared the treatment modalities as well as the oncologic outcome between young elderly (65-79 years old), elderly (>80 years old) and the reference population (<65 years old.) We reviewed 1047 patients treated between 2002 and 2012. Tumor sites, TNM stages, type of treatment, and the oncologic results are compared with survival statistics. The elderly group was associated with an increase in palliative treatment, more women and advanced T stages. For the 947 patients treated with curative intent, 5 year recurrence free survival was comparable. The overall-survival decreases with the age because of intercurrent deaths. Nevertheless, the treatment efficacy is similar. In conclusion, an advanced age is associated with worse survival, without a decrease in loco-regional control. The chronological age should not be used as a predictive factor for treatment response.
Keywords AgedAged, 80 and overCarcinoma, Squamous Cell/mortality/pathology/therapyFemaleHead and Neck Neoplasms/mortality/pathology/therapyHumansMaleNeoplasm Recurrence, LocalPalliative Care/utilizationSwitzerland/epidemiology
PMID: 26619703
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Research group Groupe Dulguerov Pavel (ORL et chirurgie cervico-faciale) (145)
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DULGUEROV, Nicolas et al. Traitement des carcinomes épidermoïdes ORL chez la personne âgée. In: Revue médicale suisse, 2015, vol. 11, n° 488, p. 1803-1807. https://archive-ouverte.unige.ch/unige:87954

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Deposited on : 2016-10-04

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