Head and neck cancer in the elderly.

One hundred fifty-nine patients, 80 years of age or older, with cancer of the head and neck were reviewed. Patients tolerated head and neck resection well and an absolute survival of 36 months for all treated patients and 41 months for all surgically treated patients suggests the efforts are worthwhile. Treatment offered the elimination of uncontrolled cancer in 68% of the patients. Prompt and adequate treatment reduces time, effort, cost, and the actual suffering of the patients. There is little justification for therapeutic nihilism even in the elderly patient.