Updated recommendations regarding the management of older patients with breast cancer: a joint paper from the European Society of Breast Cancer Specialists (EUSOMA) and the International Society of Geriatric Oncology (SIOG)

Breast cancer is increasingly prevalent in older adults and a substantial part of routine oncology practice. However, management breast this population challenging because the disease highly heterogeneous there insufficient evidence specific to adults. Decision making should not be driven by age alone but involve geriatric assessments plus careful consideration life expectancy, competing risks mortality, patient preferences. A multidisciplinary taskforce, including members European Society Cancer Specialists International Geriatric Oncology, gathered expand update previous 2012 evidence-based recommendations for individuals with endorsement Organisation. These guidelines were expanded include chemotherapy toxicity prediction calculators, cultural social considerations, surveillance imaging, genetic screening, gene expression profiles, neoadjuvant systemic treatment options, bone-modifying drugs, targeted therapies, supportive care. Recommendations on assessment, ductal carcinoma situ, primary endocrine therapy, surgery, radiotherapy, adjuvant secondary updated.