Surgical OncologyRaphael E. Pollock Springer Science & Business Media, 30 лист. 1997 р. - 371 стор. Among the standard oncology modalities, surgical oncology is singular in that it lacks a separate board certification or even an added qualification mecha nism. 'Card-carrying' surgical oncologists are certified by the American Board of Surgery, as are all other general surgeons. What distinguishes the surgical oncologist is a set of cognitive skills rather than a specific armamentarium of surgical techniques. This different conceptual framework is derived from ex tensive additional training that leads to an in-depth understanding of the natural history and biologic behavior of the various solid tumor systems. Equipped with this perspective, the surgical oncologist is particularly well positioned to integrate the various available therapeutic modalities into a coherent care program for the solid tumor patient. As a central theme, the chapters of this book demonstrate that increasingly sophisticated diagnostic and staging approaches are helping to move chemo therapy and radiotherapy into the preoperative neoadjuvant setting. This fundamental alteration is based on the awareness that even early-stage solid tumor disease is frequently systemic at the time of presentation, at least on a subclinical level. And although the primary tumor may be controllable by surgery with radiotherapy, the uncontrolled (and initially clinically unappar ent) distant disease ultimately determines patient survival. The other perspec tive driving the neoadjuvant approach is an emerging awareness that for most solid tumor systems, neoadjuvant treatment responses can facilitate less muti lating surgery with comparable levels of local disease control. |
Зміст
Defining contemporary surgical roles | 1 |
2 Advances in rectal cancer treatment | 29 |
3 Molecular and surgical advances in pediatric tumors | 51 |
4 Advances in reconstruction for cancer patients | 71 |
5 New developments in soft tissue sarcoma | 91 |
6 Advances in the diagnosis and treatment of adenocarcinoma of the pancreas | 109 |
7 Recent advances in bone sarcomas | 127 |
8 Thyroid carcinoma | 149 |
11 Multiple endocrine neoplasia | 213 |
12 Advances in the diagnosis and treatment of gastrointestinal neuroendocrine tumors | 227 |
13 Contemporary Approaches to Gastric Carcinoma | 239 |
14 New strategies in locally advanced breast cancer | 253 |
15 Biliary tract cancer | 273 |
16 Minimally invasive surgery in surgical oncology | 309 |
17 Prognostic factors in surgical resection for hepatocellular carcinoma | 331 |
18 Colon cancer | 347 |
9 Changing trends in the diagnosis and treatment of early breast cancer | 171 |
10 Classification staging and management of nonHodgkins lymphomas | 203 |
Загальні терміни та фрази
adenocarcinoma adjuvant chemotherapy adjuvant therapy analysis Anderson Cancer Center Ann Surg axillary bile duct biliary bone breast cancer Cancer Res carcinoid cell chemoradiation cholangiocarcinoma cholecystectomy chromosome Clin Oncol colectomy coloanal anastomosis colon detected diagnosis disease doxorubicin evaluation excision flap follow-up gallbladder carcinoma gastric cancer gastrinomas gastrointestinal gene hepatic hepatocellular carcinoma histologic intraoperative invasive irradiation laparoscopic lesions limb liver locally advanced locoregional lymph node dissection lymph node metastases lymphadenectomy lymphoma M.D. Anderson Cancer malignant margin mastectomy medullary thyroid melanoma melphalan metastases mutations neuroblastoma neuroendocrine tumors nodal oncogene osteosarcoma overexpression pancreatic cancer pancreaticoduodenectomy perfusion postoperative preoperative primary tumor procedure prognostic factors protein radiation therapy radiotherapy randomized trial receptor reconstruction rectal cancer recurrence reported resection rhabdomyosarcoma risk role sentinel node significant soft tissue sarcoma stage Surg Oncol surgery surgical resection survival rates systemic techniques thyroid carcinoma tion transplantation treatment unresectable vascular Wilms World J Surg