Download The M.D. Anderson Surgical Oncology Handbook (5th Revised edition) PDF free

Download The M.D. Anderson Surgical Oncology Handbook (5th Revised edition) PDF free

Welcome to the fifth edition of The MD Anderson Surgical Oncology Handbook! Since the publication of the first edition, the field of surgical oncology, the surgical care of patients with cancer, has grown from an avocation practiced by a few committed surgeons, usually trained in general surgery, to a defined and vigorous specialty with its own subspecialties, including those of breast, colorectal, melanoma, sarcoma, and hepatobiliary surgery. Since the first edition of The Handbook, there have been major advances that have transformed the field. These have included advances in surgical techniques that have minimized patient morbidity and at the same time allowed refinement in surgical indications. Such advances have included the introduction of sentinel lymph node biopsy, especially for patients with melanoma and breast cancer; and advances in minimally invasive surgery, initially in the staging and palliative treatment of patients with gastrointestinal malignancies but now established as a standard of care for selected patients with various early-stage tumors, including colon cancer and adrenal tumors. Advances have also included technical innovations, including in liver, pancreatic, peritoneal, soft tissue, and reconstructive surgery that have allowed surgical care to be extended to patients not previously considered surgical candidates, including patients with bilobar liver tumors, those with involvement of major abdominal vasculature, and carcinomatosis. Advances in imaging, including the introduction of PET/CT as well as high-resolution CT and MRI, have allowed for more accurate preoperative staging, facilitating surgical treatment planning and permitting a more selective approach to surgical care of patients with various cancers. Major progress in our understanding of the molecular biology and the natural history of many solid tumors, through investigations often led by surgical oncologists, have resulted in a much deeper and more profound understanding of the mechanisms responsible for cancer incidence and progression. These advances have led not just to more accurate staging of patients with these cancers but to more accurate selection of patients for surgical treatment, and in some cases more effective and less toxic systemic therapies. Finally, integration of cancer-specific diagnostic LWBK949-FM_pi-xx.indd xv 9/23/11 1:13 PM xvi Foreword treatment and outcomes data with information on patient quality of life, socioeconomic factors, and on costs and side effects of therapy, through the disciplines of health services, outcomes, and disparities research, are of increasing importance in obtaining the best possible result in individual patients while at the same time minimizing toxicity, waste, and overall cost. The current edition of The Handbook provides an overview of current care of patients with cancer diagnoses commonly evaluated and treated by surgical oncologists and in doing so continues to align such care with the underlying philosophy of the Department of Surgical Oncology at MD Anderson: multidisciplinary, cooperative care is the ideal way to manage patients with cancer. Such care begins with an understanding of the underlying tumor biology and natural history of the disease and includes technical excellence in the delivery of indicated surgical treatment. It also demands integration of essential information from the available literature on currently preferred treatment modalities and emphasizes appropriate inclusion of adjunctive specialty care, including medical oncology, radiation oncology, interventional radiology, palliative care, pain management, physical therapy, nutritional support, social services, and nursing. I am confident that you will find the current edition of The Handbook useful, whether you are a medical student on a surgical rotation, a surgical resident, a surgical oncology fellow, or an interested specialist in a related discipline. Especially for those of you early in your training, I hope that your exposure to the exciting and deeply rewarding field of surgical oncology through your surgical rotations and this handbook will interest some of you in pursuing the surgical care of patients with cancer as a career. I am delighted to be able to introduce the current edition of The Handbook to you and honored to have been a small part of it since the first edition. The dynamic nature of the field of surgical oncology will demand that we continue to revise and update its contents; it is exciting to know that some of you reading this will contribute to future editions!

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