Overview
- Editors:
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Paul H. Sugarbaker
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The Cancer Institute, Washington Hospital Center, USA
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Table of contents (27 chapters)
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- Bernard Detroz, Paul H. Sugarbaker, James A. Knol, Nicholas Petrelli, Kevin S. Hughes
Pages 241-257
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- Burckhardt Ringe, Arved Weimann, Peter Lamesch, Björn Nashan, Rudolf Pichlmayr
Pages 259-275
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- Marc L. Demers, Lee M. Ellis, Mark S. Roh
Pages 277-290
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- Rick Selby, Juan R. Madariaga, Shunzaburo Iwatsuki
Pages 291-292
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- Eizo Okamoto, Naoki Yamanaka, Takeshi Oriyama, Fumihito Tomoda, Akio Kyo
Pages 293-299
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- Peter Lamesch, Burckhardt Ringe, Christian Rabe, Michael Oellerich, Martin Burdelski, Rudolf Pichlmayr
Pages 301-306
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- Xin-Da Zhou, Zhao-You Tang, Ye-Qin Yu
Pages 307-312
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- Enrique V. Veloso, Mark A. Steves, Vicente Fernández-Trigo, Constancio Marco
Pages 313-314
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Back Matter
Pages 315-326
About this book
When one deals with cancer, the hepatobiliary malignancies present a chal lenge to the oncologists that can be characterized as a series of unsolved clinical and biological dilemmas. Liver metastases from colorectal and other gastrointestinal malignancies, hepatocellular carcinoma, cholangiocar cinoma, and gall bladder cancer present an array of problems but have two features in common. These are high morbidity and mortality with an overall poor result from treatment. Why is it that hepatobiliary cancer carries with it such a dismal prognosis? First of all, these diseases present, for the most part, in an advanced state. To this point in time the oncologist has had no help from early diagnosis or screening. Only the occasional patient followed by ultrasound or a tumor marker has the disease diagnosed in an asymptomatic state. By the time these diseases become symptomatic, curative treatment options have usually disappeared. Evolution has placed the liver in a protected position in order to avoid injury to the soft parenchyma. As with many other internal organs, the nerve supply is extremely limited. These two anatomic features result in a great lack of early warning signs of cancer.
Editors and Affiliations
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The Cancer Institute, Washington Hospital Center, USA
Paul H. Sugarbaker