A Sustained Complete Response in an Elderly Patient with Metastatic Colorectal Adenocarcinoma—A Clinical Case
2020
Background: The increasing life expectancy of people worldwide will signify that
oncologists everywhere will be faced with many difficult decisions regarding
treatment options in the elderly population with cancer. These patients carry
specific challenges that should be discussed. Aim: To report the
clinical case of an elderly patient with a metastatic colorectal cancer with a
sustained complete response and reflect on the particularities on this special
population. Clinical case: In 2009, an
80-year-old man presents with colorectal cancer, undergoes surgery and
intraoperatively a peritoneal implant is resected. He is deemed fit for
chemotherapy and is treated with 8 cycles of capecitabine. After a 10-year
follow-up, he remains with no evidence of disease. Conclusion: Chronological age is insufficient to establish a treatment plan; oncologists
must evaluate the patient multidimensionally and develop personalized options
for the therapy and follow-up of older individuals.
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