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Comprehensive Geriatric Oncology by Martine Extermann MD, Lodovico Balducci, William B. Ershler,

By Martine Extermann MD, Lodovico Balducci, William B. Ershler, Gary H. Lyman, Martine Extermann

The prevention and therapy of melanoma in older sufferers calls for an individualized strategy, as age factors unpredictable effects from sufferer to sufferer. thoroughly revised and up to date, this moment variation of a bestseller permits clinicians to settle on the absolute best melanoma care. Highlighting rising matters in geriatric oncology, it is helping physicians advertise melanoma prevention and exhaustively reports the biology of melanoma and getting older, epidemiologic developments, and scientific trials. New chapters include fabric on subject matters corresponding to review, fragility, symptom administration, and emergencies, and stories of the effectiveness of educating courses in geriatric oncology.

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Our knowledge base represents an enormous collection of facts as well as opinion gathered over years of formal education, training, and experience in both preclinical and clinical settings. On the other hand, our understanding of how to gather information and evaluate it in order to arrive at correct decisions is obtained in a much less direct manner, largely through observation of experienced clinicians and trial and error. 2,3 The factual foundation of our clinical knowledge is based upon objective evidence derived from both published and unpublished research.

Prolonged sun exposure is a factor. Survival can be substantial for these older patients, providing that constraints are not placed on the provision of curative treatment. 20 This disparity is due to a lack of screening programs, in part due to rural and socioeconomic factors. Cervical cancer in women over 65 accounts for 25% of new cases and 41% of deaths from this disease. Increasing age is associated with increased stage at time of presentation, yet in regions where the older women have been aggressively screened, their death rates have declined.

Muss HB, Cohen HJ, Lichtman SM. Clinical research in the older cancer patient. Hematol Oncol Clin North Am 2000; 14:283–91. 8. Spencer G. Projections of the population of the United States, by age, sex, and race: 1988–2080. Current Population Reports, Series P-25, No. 1018. Washington, DC: US Government Printing Office, 1989. 9. US Census Bureau, 1999 Survey. Washington, DC: US Census Bureau, 2000. 10. Tauber CM. Sixty-five plus in America. Revised edition. Current Population Reports, Special Studies.

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