By Vijay P. Khatri MD FACS
This designated case-based assessment of surgical oncology deals very good instruction for oral board examinations, which emphasize either common wisdom and case administration. The booklet offers ninety one situations based to mirror the surgeon's decision-making approach. every one case starts with a sufferer presentation and imaging stories or pathology effects and proceeds via a chain of selection points—differential analysis, requests for added exams, analysis, surgical process, dialogue of capability pitfalls, and follow-up. circumstances are grouped by way of organ process and every part ends with a therapy set of rules summarizing the choice issues. approximately four hundred radiologic photos and different appropriate illustrations accompany the text.
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Extra info for Clinical Scenarios in Surgical Oncology
Case 6 Jereczek-Fossa BA, Jassem J, Orecchia R. Cervical lymph node metastases of squamous cell carcinoma from an unknown primary. Cancer Treat Rev 2004;30:153–164. Koch WM, Bhatti N, Williams MF, et al. Oncologic rationale for bilateral tonsillectomy in head and neck squamous cell carcinoma of unknown primary source. Otolaryngol Head Neck Surg 2001;124:331–333. McMahon J, Hruby G, O’Brien CJ, et al. Neck dissection and ipsilateral radiotherapy in the management of cervical metastatic carcinoma from an unknown primary.
Partial laryngectomy as salvage surgery for radiation failures in T1-T2 laryngeal cancer. Head Neck 1998;20:630–633. Rosier JF, Gregoire V, Counoy H, et al. Comparison of external radiotherapy, laser microsurgery and partial laryngectomy for the treatment of T1 N0 M0 glottic carcinomas: a retrospective evaluation. Radiother Oncol 1998;48:175–183. Simpson Jones A, Fish B, Fenton JE, et al. The treatment of early laryngeal cancers (T1-T2 N0): surgery or irradiation? Head Neck 2004;26:127–135. 4961_Khatri_ch05_pp015-017 7/21/05 11:12 AM Page 15 case 5 Case 5 Presentation Recommendation A 58-year-old man who is a TV reporter presents to your office with a 2-month history of pharyngeal foreign body sensation.
Emerging data suggest that concurrent chemotherapy and radiation therapy offers better loco regional control and an improvement in survival. Case Continued The patient is referred to the radiation oncology department for radiation therapy, and external beam therapy is planned for the primary lesion and the neck bilaterally. The tumor bed receives a total dose of 72 Gy in 6 weeks, with 65 Gy in wide field by opposing lateral portals and a 7-Gy boost to the tumor bed by a submental, mandible-sparing portal.