[Radiation therapy in the elderly].
Cancer is a disease that predominantly occurs in older patients who represent a quarter of the population in western countries. Numerous types of cancer are observed in elderly people. Radiotherapy is one of the most powerful treatment against cancer. The purpose of this review is to highlight sights of radiation oncology specifically related to aging. Particular emphasis is placed on logistic and technical aspects of radiation. Special techniques are also reviewed that have particular relevance to the treatment of the elderly, as modulated intensity radiotherapy, gating, cyberknife use and partial breast irradiation. Most of published studies have demonstrated feasibility of radiotherapy in curative or palliative intent whatever cancer types are considered. Complete geriatric assessment and a multidisciplinary approach are the key points.
Durdux
Catherine
C
Service de radiothérapie, Hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France. catherine.durdux@egp.aphp.fr
Bauer
Carole
C
D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology; D001943:Breast Neoplasms / Q000532:radiotherapy; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000532:radiotherapy; D015182:Lymphatic Irradiation; D008297:Male; D009369:Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D010386:Pelvic Neoplasms / Q000532:radiotherapy; D016634:Radiosurgery; D011879:Radiotherapy Dosage; D020266:Radiotherapy, Conformal