Cancer medicine: principles of treating malignant disease Part one: surgical oncology
Carlo Palmieri and Anjana Singh discuss the surgical option available in managing malignant disease
Malignant disease can be managed surgically, medically or both. Medical treatments include chemotherapy, radiotherapy, endocrine therapy, immunotherapy, and monoclonal antibodies.
Our next article will deal with the medical aspects. Here we talk about the surgical options.
Surgery plays a central role in managing malignant tumours and surgeons are often the first to see patients with symptoms and signs suggestive of malignancy. Surgical oncology has a broad remit and includes the following.
Surgery can be used to prevent cancer in patients with an inherited predisposition to certain malignancies. Examples include: Proctocolectomy to prevent colorectal cancer in people with familial adenomatous polyposis coli.Women with known genetic mutations predisposing to breast cancer--for example, BRCA1/2 mutations can benefit from prophylactic mastectomy.