Surgical oncology--theory and practice

In viewing the broad imagery of oncology, it is seen as a multidisciplinary subject, and attention is focused initially on oncology philosophy, indicating major problems for solution. The position of surgical oncology is clearly delineated in clinical oncology as a major discipline with well-defined theory and practice, which is the main subject here. The foundations of the theory are the essential sciences for surgeons--surgical anatomy, physiology, and pathology, with surgical oncology now emerging as a multidisciplinary science. The basic sciences of surgical oncology, currently making valuable additions to oncology knowledge, are defined, and their relevance to the build-up of the theory is described. There must be a constant feedback of theory and practice. Major surgical operations are central in the practice component; the latter can be epitomized as rehabilitation and continuing care. Rehabilitation begins with diagnosis. The performance of oncological operations requires sound surgical judgment and superb technical ability. The surgical oncologist has an important role in rehabilitation and continuing care programmes. Education and training courses in the theory and practice of surgical oncology are developing for graduates who desire a career in this discipline.