Fudan University Shanghai Cancer Center 复旦大学上海医学院肿瘤 .PPTVIP

3.2Surgery for Primary Cancer 3.3Surgery for Metastases cN1-case1 3.4Surgery for Debulking The results of experimental studies suggest that cytoreduction, or debulking of recurrent cancer, has important potential benefits. 3.5Palliative Surgery relief of intestinal obstruction removal of tumors to control pain or hemorrhage introduction of a feeding jejunostomy to permit adequate nutrition. 3.6Reconstructive and Rehabilitative Surgery 2009年，首次采用前臂游离折叠皮瓣修复颊粘膜癌术后洞穿缺损 前臂游离皮瓣修复颊粘膜癌术后缺损 股外侧肌皮瓣修复头皮软组织肿瘤术后缺损 3.6Vascular Access 3.7Surgery for Oncologic Emergencies Summary Surgeon is part of a multidisciplinary team. Surgeon is frequently the “entry point” for patients who are newly diagnosed with cancer. Surgeon must have knowledge of the biology and natural history of the cancer to be treated. Surgeon must be technically experienced in diagnostic procedures and operative interventions. Surgeon must have appropriate knowledge base in medical and radiation oncology. Patients treated in a multimodality setting have improved outcomes. Training of surgical oncologist must encompass the following: Etiology and genetic predispositions of cancer Prognostic factors and natural history of specific tumors Understanding of how to provide cost-effective treatment Skills to develop, conduct, and manage clinical trials Guidance in management of advanced disease Guidance in offering compassionate support Guidance in determining and evaluating outcomes Surgical oncologist should be a participant in clinical trials, providing guidance in design and monitoring of quality control aspects of surgical intervention component as well as overall leadership design and implementation. Surgical oncologist should be an educational resource in the community. Surgical oncologist plays an important role in prevention and screening Recommended Readings: Abeloffs Clinical Oncology, 4th ed. . If you have any question, please contact me. Yu Wang： email: neck130@ Fudan University Shangha