TY  - JOUR
TI  - Evaluation of Prognostic Factors and Survival Results in Geriatric Patients with Head and Neck Cancer
AB  - Length of life is gradually increasing along with the incidence of cancer in the elderly. Herein, we aimed  to evaluate radiotherapy (RT) and chemoradiotherapy (CRT), surgical treatment (ST) results, clinico pathological features, and survival factors in patients ≥65-years-old with head-and-neck cancer. METHODS We evaluated patients aged ≥65 years with head-and-neck cancer who were treated in radiation oncol ogy clinics in the Eastern Black Sea region of Turkey. After receiving the approval of the Ethics Commit tee, demographic, clinical, and histopathological data of the patients were obtained by reviewing their  files and records. RESULTS Of 179 patients with head-and-neck cancer, 59 (33%) were geriatric patients. Thirty-three patients were  treated only with RT, 24 with CRT, and two with ST. The total RT dose ranged from 66 to 70 Gy, and 40  mg/m2  cisplatin could be weekly administered. While 50.8% of the patients had laryngeal cancer, 22%  had oral cavity cancer. The mean follow-up period was 29.3 months; median overall survival (OS) was  27.5 months; 2- and 5-year OS were 56.6% and 32.2%, respectively; median progression-free survival  was 25.4 months. When prognostic factors that could affect general survival were analyzed in a univari ate analysis, sex status (p=0.019) was found statistically significant. The most common side effect was  Grade 3 mucositis (30%). CONCLUSION Treatment modalities to be selected in elderly patients with head-and-neck cancer should be evaluated  based on the performance status and not age. Elderly patients with no additional comorbidity can be  treated with RT and/or CRT in a similar to that done in young patients.
AU  - Canyilmaz, Emine
AU  - AYNACI, ÖZLEM
AU  - YAŞAR, Ahmet
AU  - TÜRKER SERDAR, LASİF
AU  - HANEDAN USLU, Gonca
DO  - 10.5505/tjo.2021.3368
PY  - 2022
JO  - Türk Onkoloji Dergisi
VL  - 37
IS  - 1
SN  - 1300-7467
SP  - 1
EP  - 8
DB  - TRDizin
UR  - http://search/yayin/detay/1135780
ER  -