目次
序章

高齢者がん診療の基本的な考え方 ····································································· 1

第1章

高齢者がんの特徴と評価 ···············································································12

1.日本のがんに関する疫学
Q1

がん死に高齢者が占める割合はどのくらいか？ ···································································· 12

Q2

がん罹患者のうち高齢者が占める割合はどのくらいか？ ························································ 13

Q3-1

がん種別で、がん死、がん罹患において高齢者が占める割合はどのくらいか？ ·························· 14

Q3-2

日本人の臓器別でがん死亡ならびにがん罹患の多い順番はどうか？ ········································· 16

2.高齢者の機能評価
Q1

高齢者機能評価は実施すべきか？ ······················································································ 17

Q2-1

高齢者の機能評価では、どのような項目を評価すべきか？ ····················································· 18

Q2-2

高齢のがん患者を治療するにあたって、評価ツールとしてどのようなものがあるか？ ················· 19

Q2-3

高齢者機能評価の簡易スクリーニングツールにはどのようなものがあるか？ ····························· 21

Q3

高齢者機能評価の結果を参考に、どのような介入を行うべきか？ ············································ 22

3. 高齢者でがんを疑ったときの診断的アプローチ・病期決定のための検査
（1）画像検査
Q1

高齢者がん患者の画像検査の実施にあたり、その適応・条件は何か？ ······································ 23

Q2

高齢者がん患者の画像検査の実施にあたって、その留意点は？ ··············································· 24

（2）内視鏡検査
Q1

高齢がん患者に対する内視鏡検査を実施するにあたり、その適応・条件は何か？ ······················· 25

Q2

高齢者がん患者の内視鏡検査の実施にあたって、その留意点は？ ············································ 27

Q2-1

内視鏡検査にあたって、高齢者の身体的変化に対する留意点は？ ············································ 27

Q2-2

内視鏡検査にあたって、定期的に服用している抗血栓薬はどうすればいいのか？ ······················· 29

Q2-3

上部消化管内視鏡検査に伴う偶発症に対する対策は？ ··························································· 31

Q2-4

下部消化管内視鏡検査に伴う偶発症に対する対策は？ ··························································· 33

第2章

内科系治療総論 ··························································································· 35

Q1

がん薬物療法において年齢制限はあるか？ ·········································································· 35

Q2

がん薬物療法が可能な高齢がん患者の選択基準はあるか？ ····················································· 37

Q3

高齢がん患者でも非高齢がん患者と同等のがん薬物療法は可能か？ ········································· 38

Q4

高齢がん患者のがん薬物療法の決定手順は何か？ ································································· 39

第3章

支持・緩和治療 ···························································································40

1. 栄養と悪液質
Q1

高齢者への栄養管理や指導で特に注意が必要なことは何か？ ·················································· 40

Q2

がん周術治療の栄養管理はどうするのか？ ·········································································· 42

Q3

血液腫瘍治療の栄養管理はどうするのか？ ·········································································· 43

Q4

化学療法と放射線療法時の栄養管理はどうするのか？ ··························································· 45

Q5

緩和的ながん治療をうける高齢者の栄養管理で気を付けることは何か？ ··································· 46