Treatment of Non-melanoma Skin Cancer in the Elderly

Alexandra Zeitany, Adewole Adamson

Research output: Contribution to journalReview article

Abstract

Purpose of Review: We seek to explain how the treatment of non-melanoma skin cancer (NMSC) should differ in certain geriatric patients. Our goal is to provide primary care physicians with a comprehensive methodology for approaching the evaluation and management of these patients. Recent Findings: Recent retrospective studies have revealed that the rates of aggressive surgical treatment of NMSCs are equivalent in non-age restricted and geriatric populations, including those with limited life expectancy. Geriatric patients have higher rates of post-operative complications without affecting disease specific survival. These studies suggest that we must carefully consider how we counsel and treat elderly patients with NMSC. Summary: There are many surgical and non-surgical treatment modalities for NMSC that offer varying cure rates. Given the non-lethal nature of many of these tumors, active surveillance is another viable treatment alternative especially in patients with limited life expectancy. Ultimately, we must engage in shared decision-making with our patients to develop treatment plans that best align with each patient’s overall goals of care.

Original languageEnglish (US)
Pages (from-to)216-221
Number of pages6
JournalCurrent Geriatrics Reports
Volume7
Issue number4
DOIs
StatePublished - Dec 1 2018

Fingerprint

Skin Neoplasms
Geriatrics
Life Expectancy
Therapeutics
Patient Care Planning
Primary Care Physicians
Decision Making
Retrospective Studies
Survival
Population
Neoplasms

Keywords

  • Active surveillance
  • Geriatric dermatology
  • Non-melanoma skin cancer
  • Palliative dermatology
  • Shared decision-making

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Treatment of Non-melanoma Skin Cancer in the Elderly. / Zeitany, Alexandra; Adamson, Adewole.

In: Current Geriatrics Reports, Vol. 7, No. 4, 01.12.2018, p. 216-221.

Research output: Contribution to journalReview article

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