6 oﬀer radiation therapy to patients who may beneﬁt most such as those with life expectancy greater than 5 years, those with large tumors, positive lymph nodes, or negative hormone receptors. 5. Conclusions Treatment of breast cancer in the elderly patient in a com- munity setting, which in this case is The Brooklyn Hospital Center, has shown that there is a trend to having undertreat- ment with advancing age. It was likewise demonstrated that despite similar patient and tumor characteristics, the ﬁve- year survival signiﬁcantly diﬀered among the diﬀerent age cohorts. To validate whether this is due to age alone, data on comorbidities and the patients’ functional status should also be determined. 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