Aortic Surgery(1).pdf

a d e m e c u

LANDES

BIOSCIENCE

Aortic

Surgery

Jeffrey L. Ballard

vademecum

Surgical Oncology

David N. Krag, M.D.

University of Vermont Medical School

Burlington, Vermont, U.S.A.

L A N D E S

B I O S C I E N C E

G EORGETOWN , T EXAS

U.S.A.

VADEMECUM

Surgical Oncology

LANDES BIOSCIENCE

Georgetown, Texas U.S.A.

No part of this book may be reproduced or transmitted in any form or by any

means, electronic or mechanical, including photocopy, recording, or any

information storage and retrieval system, without permission in writing from the

publisher.

Printed in the U.S.A.

Please address all inquiries to the Publisher:

Landes Bioscience, 810 S. Church Street, Georgetown, Texas, U.S.A. 78626

Phone: 512/ 863 7762; FAX: 512/ 863 0081

ISBN: 1-57059-633-6

Library of Congress Cataloging-in-Publication Data

Surgical oncology / [edited by] David N. Krag.

p. ; cm. -- (Vademecum)

Includes bibliographical references and index.

ISBN 1-57059-633-6 (spiral)

1. Cancer--Surgery. I. Krag, David N. II. Series.

[DNLM: 1. Neoplasms--surgery. 2. Medical Oncology. QZ 268 S96105 2000]

RD651.S8832 2000

616.99 ′ 4059--dc21

00-057733

While the authors, editors, sponsor and publisher believe that drug selection and dosage and

the specifications and usage of equipment and devices, as set forth in this book, are in accord

with current recommendations and practice at the time of publication, they make no

warranty, expressed or implied, with respect to material described in this book. In view of the

ongoing research, equipment development, changes in governmental regulations and the

rapid accumulation of information relating to the biomedical sciences, the reader is urged to

carefully review and evaluate the information provided herein.

Dedication

This book is dedicated to Paul Gross, Ph.D. at the Unviersity of the Pacific.

It is a small gesture to recognize his influence as an outstanding educator

whose powerful messages have stood the test of time.

Contents

1. Breast Cancer .................................................................... 1

Lorraine Tafra

Scope of the Problem: Incidence ................................................................. 1

Risk Factors ................................................................................................ 1

Prevention .................................................................................................. 3

Screening .................................................................................................... 3

Methods of Diagnosis ................................................................................. 4

Types of Breast Cancer ................................................................................ 5

Preoperative Evaluation ............................................................................... 6

Tr eatment Options ..................................................................................... 6

Tr eatment Outcomes ................................................................................ 12

Posttreatment Surveillance ........................................................................ 15

Special Considerations .............................................................................. 16

2. Melanoma ....................................................................... 18

Lee W. Thompson, Laurence H. Brinckerhoff, and Craig L. Slingluff, Jr.

Scope of the Problem ................................................................................ 18

Risk Factors for the Development of Melanoma ....................................... 18

Screening for Melanoma ........................................................................... 19

Methods of Diagnosis ............................................................................... 20

Preoperative Evaluation ............................................................................. 20

Staging ...................................................................................................... 22

Tr eatment ................................................................................................. 24

Distant Metastasis ..................................................................................... 25

Adjuvant Therapy ..................................................................................... 26

Experimental Therapy ............................................................................... 27

Posttreatment Surveillance ........................................................................ 27

Special Considerations .............................................................................. 28

3. Nonmelanoma Skin Cancers ........................................... 31

Paul L. Baron

Introduction ............................................................................................. 31

Scope of the Problem ................................................................................ 31

Risk Factors .............................................................................................. 31

Screening .................................................................................................. 33

Diagnosis .................................................................................................. 34

Preoperative Evaluation ............................................................................. 37

Staging ...................................................................................................... 37

Tr eatment ................................................................................................. 37

Posttreatment Surveillance ........................................................................ 39

Unusual Tumors ....................................................................................... 40

Special Considerations .............................................................................. 42

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