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