Do you implement an age cut-off for determining use of adjuvant chemotherapy for Stage III ER+ PR+ breast CA?
2 Answers
Mednet Member
Medical Oncology · MOSC Medical College Kolenchery
Answered on
No. But, I carefully assess functional age based on patient's daily activity level. If the patient has poor functional status, and has a high risk of cancer recurrence, I use clinical judgement to determine the value of adjuvant chemotherapy and discuss the pros/cons with the patient.
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Medical Oncology · Winship Cancer Institute and Emory University School of Medicine
Answered on
No, I do not utilize a specific age cutoff for determination of chemotherapy utilization. The health status of older patients can vary significantly, and chronologic age has not been identified as a reliable predictor in treatment decision making. I consider various clinical features, including co-morbidities, performance status, and potential life expectancy, when discussing goals of treatment, as well as risks and benefits of systemic therapy.
Join for free or sign in to see the full answer