It is unfortunate that the majority of clinical trials that addressed surgical (refs), radiation (refs), and systemic (ref.) therapies have not included older patients. Therefore, definitive recommendations from these studies might not apply to older patients. The best approaches to local and systemic therapies in elderly patients and the impact Target Selective Inhibitor Library of each modality of therapy on the natural history
of the disease and the quality of life require evaluation in clinical trials”. (ii) Surgical management of breast cancer in the elderly patient, Baiba J. Grube, Nora M. Hansen, Wei Ye, M.S., Temple Herlong, Armando E. Giuliano, The American Journal of Surgery 182 (2001) 359–364 The following text was reproduced: In the Introduction: Breast cancer occurs in approximately 210 women per 100,000 between
age 50 and 54, 300 per 100,000 for women over age 70, and exceeds 430 per 100,000 in women over age 80 [ref.]. As the incidence increases with age, the mortality rate from breast cancer also rises dramatically, doubling in 70-year-olds and tripling in 80-year-olds compared with 50-year-olds [ref.]”. In the Methods: Disease-specific survival curves were estimated by the Kaplan–Meier method. Log rank PLX-4720 price test was used to compare the survival between the two age groups. Disease-specific survival was defined as the period between the diagnosis of primary cancer to death from breast cancer. The t test was carried out to determine the differences in numerical variables between the age groups. The Pearson chi-square test was used to test the association between age and categorical characteristics”. In the Results: RANTES The clinical outcome for these two patient groups is shown in Table 3. The disease-specific
survival was calculated from the first tumor diagnosis in patients who had bilateral breast cancers”. In the Comments: Our data support the conclusion that our surgical approach is similar irrespective of age and the resultant outcomes are comparable for younger and older women”. “
“Hsp are primarily known as intracellular cytoprotective proteins, which are highly conserved from species to species. Under normal physiological conditions, Hsp exist at low levels, but their concentrations can increase many folds in response to a plethora of stress signals including various disease states, oxidative stress, toxic stress, and other environmental challenges (De Maio, 1995 and Minowada and Welch, 1995). Elevated levels of Hsp70 have been reported in several commonly encountered chronic disease conditions, such as autoimmunity (Deguchi and Kishimoto, 1990 and Heufelder et al., 1992), infections and parasitosis (Moseley, 1998, Polla et al., 1998, Kimura et al., 2004, Njemini et al., 2005b, Njemini et al., 2007a and Njemini et al., 2007b). For most humans, infectious and parasitic diseases are probably the most important inducers of Hsp that will be encountered in a life time.