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24 Cards in this Set

  • Front
  • Back
what is the oldest form of cancer treatment
surgical oncology
what is the most important treatment for solid tumors
surgical oncology
what was discovered before 1920 that caused them to do a lot more surgeries
anesthesia
explain what happened in 1920-1940
growth in sugery and radiation
radical mastectomy was invented
development of fractionated RT
mets still not treatable
radical mastectomy did what to cure rates
quadrupled
what happened in 1940-1960
advances in technology
linear accelerators were introduced
antibiotics
better anesthesia
blood banking
use RT for mets
1960 to present?
chemo
surgery was less radical
bone marrow transplants
DIAGNOSTIC RADIOLOGY
palliative care
what are the 3 criteria for surgical procedures under tumor cell kinetics
growth rate or biologic aggressiveness
invasion
metastatic potential or pattern and extent of spread
what are the 3 criteria for surgical procedures
tumor cell kinetics
tumor factors
patient variables
what are the 4 patient variables listed
general state
host resistance or immune competence
desire for treatment
quality of life
what are the 3 tumor factors
anatomic location
histologic type
tumor size
what are the 10 types of surgery
diagnostic
staging
definitive
adjuvant
preventative
reconstructive
palliative
supportive care
combination
second look procedures
what is the goal of initial biopsy
obtain sufficient tissue to diagnose
what should be completed before definitive surgery
clinical staging to determine extent of disease
what is the goal of definitive surgery
excise or remove as much of the tumor as possible
what is the biggest failure for definitive surgery
distant disease
what 4 cancers can sugery be a cure
early staged cervical
breast
skin
vulvar
what are the 6 types of adjuvant surgery
cytoreductive (debulking)
electrosurgery
chemosurgery
cryosurgery
laser surgery
management of metastatic disease
what is debulking surgery
we reduce the mass (brain)
what is electrosurgery
cutting and coagulating effects of high frequency electrical current applied by needles, blades, and electrodes
what is chemosurgery
using layer by layer surgical resections of tissue and topical application of chemo agents (skin)
what is cryosurgery
use of liquid nitrogen to destory malignant cells by deep freezing them (moles)
what is laser surgery
use of lasers to destroy malignant cells by intense thermal energy (breast, skin)
what are some examples of preventative surgery
breast cancer patient with BRCA1 and 2 and breast cancer
patients with familial polyposis
patients with undescended testical