Aging, Author Interviews, Cancer Research, Dermatology, Frailty, JAMA / 08.09.2021
Basal Cell Skin Cancer: Watchful Waiting Better for Some Frail, Elderly Patients
MedicalResearch.com Interview with:
Marieke van Winden MD MSc
PhD candidate Dermatology
Radboud Institute for Health Sciences
Department of Dermatology
Radboud University Medical Center
Nijmegen, the Netherlands
MedicalResearch.com: What is the background for this study? What underlying conditions would factor in a decision for Watchful Waiting?
Response: Basal cell carcinomas are frequently treated because of the risk for progression, which can cause a significant morbidity due to local tissue invasion and destruction. However, most BCCs are characterized by a relatively indolent nature, growing slowly and frequently asymptomatically.
Because patients with a limited life expectancy might not live long enough to develop symptoms from basal cell carcinoma progression, they might not live long enough to benefit from treatment. Underlying conditions that determine life expectancy should therefore be considered when weighing BCC management options. When life expectancy is expected to be relatively short, and the consequences of watchful waiting (WW) are relatively low risk (low tumor burden expected within the remaining lifespan), WW should be considered. (more…)