Management of Skin Cancer in the Elderly - 11/05/19

Doi : 10.1016/j.det.2019.02.003

Michael Renzi, MD ^a, Josh Schimmel, BS ^b, Ashley Decker, MD ^c, Naomi Lawrence, MD ^d,^⁎
^a Division of Dermatology, Cooper University Hospital, 3 Cooper Plaza, Suite 504, Camden, NJ 08103, USA
^b Cooper Medical School of Rowan University, 3 Cooper Plaza, Suite 504, Camden, NJ 08103, USA
^c Cooper University Hospital, 10000 Sagemore Drive #10103, Marlton, NJ 08053, USA
^d Division of Dermatology, Cooper University Hospital, 10000 Sagemore Drive #10103, Marlton, NJ 08053, USA

^∗Corresponding author.

Resumen

Over the next 30 years, dermatologists face a rising population of elderly patients, causing a marked increase in the incidence of cutaneous malignancies. For this reason, it is important to review the approach to the management of skin cancer in the elderly. In the current medical environment, there has been debate as to how cutaneous malignancy should be treated in elderly patients, especially those with multiple comorbid conditions. Clinicians should use a comprehensive approach that accounts for functional status, impact on quality of life, cost, and potential adverse outcomes when managing high- and low-morbidity skin cancers in the elderly.

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Keywords : Elderly, Skin cancer, Basal cell carcinoma, Squamous cell carcinoma, Functional assessment, Quality of life, Karnofsky