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Treatment of Stage III and Stage IV Supraglottic Carcinoma
Should Elderly Patients Undergo Standard Treatment Protocols?
Arch Otolaryngol Head Neck Surg. 1999;125:1406-1407.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In their articles, Drs Bumpous and Fee favorably uphold the premise that the treatment of a T3, N1, M0 supraglottic carcinoma should be the same in an otherwise healthy 80-year-old patient as in an otherwise healthy 40-year-old patient. They base much of their arguments on actuarial data and other objective clinical measurements. They reference several articles that demonstrate that elderly patients can physically handle rigorous treatment protocols. Actuarial data indicating that an 80-year-old person has a life expectancy measured in years, rather than weeks or months, are the impetus to adopt an interventional approach to the treatment of advanced head and neck cancer in the elderly. Unfortunately, the relevant question is not, "What is the life expectancy of an otherwise healthy 80-year-old person?" Nor is it, "Can this population handle standard therapy?" Rather, it is, "What is the life expectancy of an 80-year-old person with stage III or stage IV . . . [Full Text of this Article]
Sharen Knudsen, MD
700 Boulder Ave
Highland, CA 92346-3348
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Treatment of Stage III and IV Supraglottic Carcinoma: Should Elderly Patients Undergo Standard Treatment Protocols?
Jeffrey M. Bumpous
Arch Otolaryngol Head Neck Surg. 1999;125(12):1402-1404.
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Surgery in the Aging Population
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Arch Otolaryngol Head Neck Surg. 1999;125(12):1405.
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