“Treatment of this category of patients is a big problem, because sometimes chemotherapy and surgical treatment are aggressive. Our American colleagues generally put forward a version of clinically insignificant cancers, when an elderly person does not need to be treated. But we categorically disagree with this,” – he expressed his attitude to the question.
According to Andrey Kaprin, there are very elderly patients at the National Medical Research Center of Radiology, for which individual programs are created. “Sometimes we take super-analyses from this patient, see certain mutations and act only on these mutations, realizing that by slowing them down, we can transfer the patient from an acute state to a long latent course of cancer. That is, with the help of special therapy we reach the plateau of long-term observation. This is called the term “local tumor control”, which came to us from abroad. This control is enough for a person to live quite comfortably,” – the specialist explained.
In order to implement a unified strategy for the prevention, diagnosis and treatment of cardiac complications of antitumor therapy for cancer patients, especially the elderly, cardio-oncology will be developed. “Now a specialty has emerged in cardiovascular diseases. It is just being introduced abroad and here,” – clarified.
The first department of cardio-oncology has already opened at the National Medical Research Center of Oncology named after. N.N. Blokhina. (Many aspects of this important interdisciplinary problem remain poorly understood. AboutThere is no coordination of scientific research in this area; as a result, there are no multicenter studies, methodological manuals and recommendations, scientific and practical schools on the prevention, diagnosis and treatment of various manifestations of cardiotoxicity. – Approx. ed.)