The number of nonagenarians living an independent lifestyle is increasing and, with baby
boomers growing older in a more healthy manner, is set to rise proportionally. Neoplastic
change increases with age but many cancers in the elderly are occult until a clinically
important event causes rapid decline. Drs Gavin Brigstocke, Moshkan Poormolkara and
Jonathan Birns set out the social background and illustrate events with a likely case scenario.