Elderly cancer patients often suffer multiple comorbidities, take many medications, and have age-associated physiological problems, such as impaired organ function and functional changes, that make the selection of optimal treatment difficult. This aspect is also hampered by the underrepresentation of older patients in cancer clinical trials. Elderly patients who fulfill the inclusion criteria of clinical trials could experience the same advantages and toxicities from chemotherapy as younger patients. In contrast to physicians' perceptions, older patients do not recognize their age as an important issue for refusing trials [4]. Furthermore, performance status is not helpful to estimate the general condition of elderly patients, and other factors regarding their functional, social, and mental status should be considered [5].