Principles of Sx - Onco

Question 1

“Cut big, cut wide, cut deep, live forever”

Answer 1

SJ Withrow

Question 2

4 “doses” of surgery

Answer 2

• intracapsular
• marginal
• wide
• radical

Question 3

3 therapeutic goals when removing a malignant tumor

Answer 3

• curative: goal is to remove the entire tumor locally; aka definitive sx
• palliative: goal is to make patient comfortable (inc QOL).. not a cure
• cytoreductive: goal is to “downstage” the disease… decrease tumor burden and therefore enhance response to an adjuvant therapy (e.g. radiation therapy). Classic example is amputation without chemotherapy for OSA in dogs

Question 4

The therapeutic goal dictates the dose of sx

Answer 4

• curative –> wide or radical
• palliative –> intracapsular or marginal
• cytoreductive –> intracapsular or marginal

Question 5

TLC - approaching the onco patient

Answer 5

T: tumor type
- know who the enemy is

L: location
- stage the patient

C: condition of patient
- overall health status