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Lung Cancer in Older Adults: Local Treatment

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Geriatric Oncology

Abstract

Lung cancer is a malignancy that primarily affects the elderly. It is commonly diagnosed in patients with co-morbidiies who may have concerns about complications from aggressive therapies. This chapter is written for the non-oncologist to provide guidance on how best to approach elderly patients with lung cancer. An emphasis is made regarding the value of a multi-disciplinary team-based approach, given the evidence continues to evolve for an optimal approach in many clinical situations. It descirbes the advantages of minimally invasive thoracic surgery that have been reported in randomized clinical trials. It also summarizes the serendipitous outcomes following stereotactic radiotherapy for early stage disease that currently calls into question the time-honored belief that surgery provides the only hope for cure. A section is dedicated to the evoluation of treatment paradigms for patients with locally advanced lung cancer which has led to lower doses and smaller fields of radiotherapy than ever before. Finally, an update is provided regarding management options for localized small cell lung cancer.

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Authors and Affiliations

  1. Radiation Oncology Service, Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA, USA

    Drew Moghanaki

  2. Department of Surgery, Division of Thoracic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Carlos E. Bravo Iñiguez

  3. Department of Surgery, Division of Thoracic Surgery, Brigham and Women’s Hospital/Dana-Farber Cancer Institute, Boston, MA, USA

    Michael T. Jaklitsch

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  1. Drew Moghanaki
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  2. Carlos E. Bravo Iñiguez
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  3. Michael T. Jaklitsch
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Correspondence to Michael T. Jaklitsch .

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Editors and Affiliations

  1. Senior Adult Oncology Program, Moffitt Cancer Center, Tampa, Florida, USA

    Martine Extermann

Section Editor information

  1. Department of Medical Oncology, Institute Curie, Hôpital René Huguenin, Saint-Cloud, France

    Etienne Brain

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Moghanaki, D., Bravo Iñiguez, C.E., Jaklitsch, M.T. (2018). Lung Cancer in Older Adults: Local Treatment. In: Extermann, M. (eds) Geriatric Oncology . Springer, Cham. https://doi.org/10.1007/978-3-319-44870-1_32-1

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