How would you treat an older patient with stage IIC nonseminoma who is unfit for platinum chemotherapy due to comorbidities?
Are there any chemotherapy regimens that can be used in elderly patients with poor PS who are not candidate for BEP?
Answer from: Medical Oncologist at Academic Institution
These are difficult questions to answer. The definition of a patient unsuitable for cisplatin in an elderly patient varies from oncologist to oncologist. Cisplatin + etoposide for 4 courses is “standard“ therapy for patients over age 50, and for elderly patients with poor performance sta...
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Answer from: Medical Oncologist at Community Practice
I agree with Dr. @Lawrence H. Einhorn, but I think his first point is really important - perhaps you could clarify what constitutes "unfit for chemotherapy" in this patient... for example, if he has renal dysfunction due to urinary obstruction, that can be addressed and would make him "fit" for cisp...