Abstract
Although the majority of patients with advanced cancer are unlikely to be cured, recurrent or metastatic disease does not have to mean that a rapid or painful death is imminent. Palliative surgery aims to improve patients’ quality of life without necessarily removing all tumor, as when malignancy is advanced there is less emphasis on specific tumor therapy and more on supportive care. Palliative surgery should be seen in this context — as a part of overall patient management aimed at reduction of symptoms and prolongation of useful life without curative intent. Palliative surgery for advanced cancer should follow sound principles of surgical oncology. These involve preoperative, operative, and postoperative patient care as well as surgery of particular complications. It must be remembered that patients with cancer might also have a nonmalignant surgical problem such as appendicitis that can be readily corrected, and this dictates that a careful, rapid, and thorough assessment be made to allow early aggressive and definitive surgery to be undertaken. It should never be assumed that a new clinical problem in a cancer patient is certainly due to the cancer. This is bad medicine and the basis of unnecessary suffering and mortality.
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References
Bhalla SK (1970) Metastatic disease of the spine. Clin Orthop 73: 52–60
Gilbert et al. (1978) Epidural spinal cord compression from metastatic tumour: diagnosis and treatment. Ann Neurol 3: 40
Young et al. (1980) Treatment of spinal epidural metastases: randomised prospective comparison of laminectomy and radiation therapy. J Neurosurg 53: 741
Posner JB (1977) Management of central nervous system metastases. Semin Oncol 4: 81
Winston KR, Walsh JW, Fischer EG (1980) Results of operative treatment of intracranial metastatic tumours. Cancer 45: 2639–2645
Galicich JH, Sundaresan N, Thaler HT (1980) Surgical treatment of single brain metastases. J Neurosurg 53: 63–67
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© 1988 Springer-Verlag Berlin·Heidelberg
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Forbes, J.F. (1988). Principles and Potential of Palliative Surgery in Patients with Advanced Cancer. In: Senn, HJ., Glaus, A., Schmid, L. (eds) Supportive Care in Cancer Patients. Recent Results in Cancer Research, vol 108. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82932-1_17
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DOI: https://doi.org/10.1007/978-3-642-82932-1_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-82934-5
Online ISBN: 978-3-642-82932-1
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