Principles of Cancer Surgery

Question 1

overall process of management of patients with solid tumors:

Answer 1

ID cancer, work-up patient, discuss treatment options, surgery, follow-up

Question 2

Principles of Cancer Surgery from beginning to end:

Answer 2

1. Who is at risk (epidemiology, FHx, etc); 2. Screening; 3. Clinical presentation (alarm symptoms, etc); 4. Diagnosis; 5. Staging = prognosis (imaging, genetic testing, etc); 6. Treatment decision (surgery, radiation, chemo, etc); 7. Neoadjuvant vs adjuvant vs salvage therapy; 8. Evaluation of surgical risk; 9. Surgeon; 10. Surgery - process, resection, reconstruction; 11. Post-op recovery; 12. outcomes (quality of life, complications, etc); 13. path report; 14. surveillance and recurrence; 15. survivorship

Question 3

indications for hyperthermic intraperitoneal chemo:

Answer 3

advanced stage tumors that have spread throughout abdomen and may not be completely resectable (appendix, colorectal, ovarian cancer)

Question 4

indications for brachytherapy

Answer 4

(form of radiotherapy in which radioactive seeds are introduced in or near tumor); prostate and cervical cancer (often done after removing tumor); also breast cancer

Question 5

therapy options for local disease

Answer 5

surgery, radiation

Question 6

therapy options for systemic disease

Answer 6

chemotherapy

Question 7

additional therapy based on assessment of tumor burden and pathology

Answer 7

adjuvant therapy

Question 8

additional therapy based on recurrence

Answer 8

salvage therapy

Question 9

indications conference utilized to:

Answer 9

evaluate surgical risk

Question 10

used to determine diagnosis, grade, margins, stage

Answer 10

path report

Question 11

non-curative surgery; cytoreductive therapy, metastectomy, palliative therapy, hospice are examples of:

Answer 11

palliative care