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Whither the solid tumors. James Ewing lecture.

¹Department of Surgery, UCLA School of Medicine 90024-1749.

Archives of Surgery (Chicago, Ill. : 1960)

|February 1, 1990

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Surgeons can improve solid tumor survival by focusing on early detection and complete primary tumor removal. Increased surgical participation in clinical trials is crucial for advancing cancer treatment outcomes.

Area of Science:

Surgical Oncology
Cancer Research

Background:

Survival rates for solid tumors have not improved as much as for leukemias, lymphomas, and childhood cancers.
Complete removal of localized primary solid tumors is currently the most significant surgical contribution to cancer cure.
New surgical techniques and aggressive treatment of metastatic lesions offer potential improvements.

Purpose of the Study:

To analyze the reasons for limited surgical participation in clinical trials for solid tumors.
To foster greater surgical interest in evaluating novel treatment strategies for solid tumors.
To identify ways to improve outcomes for challenging solid tumors.

Main Methods:

A detailed survey was conducted by the American College of Surgeons in collaboration with the National Cancer Institute.

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The survey focused on assessing the current level of surgical involvement in clinical trials.

Analysis aimed to understand barriers and opportunities for increased surgical participation.

Main Results:

The survey highlighted a significant lack of surgical participation in clinical trials for solid tumors.
Identified a need for more trained surgical scientists dedicated to cancer research.
The study underscores the importance of surgical expertise in advancing solid tumor treatment.

Conclusions:

Enhanced surgeon involvement in early detection programs can lead to earlier treatment opportunities.
Increasing the number of surgical scientists is vital for progress in treating solid tumors.
Greater participation in clinical trials is essential for developing and validating new treatments for solid tumors.