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Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
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Palliative surgical oncology.

Nader N Hanna1, Emily Bellavance, Timothy Keay

  • 1Division of Surgical Oncology, University of Maryland School of Medicine, Baltimore, MD 21201, USA. nhanna@smail.umaryland.edu

The Surgical Clinics of North America
|March 23, 2011
PubMed
Summary

Palliative surgical oncology focuses on symptom relief, not life extension. This evolving field integrates palliative care training and ethical considerations into surgical practice for improved patient well-being.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Palliative Medicine

Background:

  • Palliative surgical oncology is an emerging discipline rooted in surgical tradition.
  • The growth of palliative medicine is influencing surgical training and practice.
  • Ethical considerations in patient care are being reevaluated within surgical oncology.

Purpose of the Study:

  • To define the scope and principles of palliative surgical oncology.
  • To highlight the integration of palliative care into surgical practice.
  • To emphasize the shift towards symptom management in surgical interventions.

Main Methods:

  • Review of current surgical oncology practices and palliative care integration.
  • Analysis of specialized training programs for surgeons in palliative care.
  • Ethical framework evaluation for palliative surgical procedures.

Main Results:

  • Surgeons are receiving specialized palliative care training.
  • New palliative surgical procedures are being developed.
  • Ethical reevaluation is guiding the selection of palliative surgical procedures.

Conclusions:

  • Palliative surgical oncology prioritizes symptom relief and quality of life.
  • This field represents a significant shift in surgical practice towards patient-centered care.
  • The integration of palliative care enhances the ethical and practical dimensions of surgical oncology.