Breast cancer is more common in older women, and the geriatric population i
s growing dramatically. The presence and severity of comorbid conditions mu
st be considered when making management decisions for treatment of breast c
ancer. Women whose life expectancy exceeds 5 years should continue annual s
creening mammography Choices for local definitive therapy, systemic adjuvan
t therapy, and treatment of metastatic disease should be based on patient p
reference and ability to tolerate the planned procedure.