BREAST CANCER AND OLDER WOMEN: IS RADIATION NECESSARY?
Selection criteria for radiotherapy after surgery in the elderly have been refined and subgroups identified, in whom radiotherapy may safely be avoided. These are women with small tumours that are strongly oestrogen receptor-positive and where nodes are not infiltrated. These patients present a sizable group of 65+ year-old breast cancer patients. But the news is also good for patients not fulfilling these criteria. Current radiation regimens that are less onerous than the standard 25 – 32 daily radiation sessions are on the scene; and proven effective.