Lecture 20 06

Lecture 20 06 - Lecture 20 06/05/08 Cancer...

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Lecture 20 06/05/08 Cancer Treatment/Therapy 1.) Surgery – resection of tumor masses (primary and non-invasive/metastatic if possible) 2.) Chemotherapy (drug treatment, cytotoxic, but now more targeted and we hope will be more prevalent) 3.) Radiation Surgery 1809, Ephrain McDowell 1 st modern surgery Patient: Jane Crawford 22 lb tumor removed from ovary without anesthesia or antiseptic, survived 30 years Two chief innovations that gave birth to surgical oncology Warren and others Massachusetts General Hospital: Ether based anesthetics 1846 Lister chief and earliest proponent of antiseptics (clean practices, such as handwashing) Survival of surgery The likelihood of survival is inversely correlated with increased disease. Sicker you are, less likely to survive surgery and surgical anesthesia 1/10 5 odds of dying under anesthesia when undergoing surgery (good odds, but you don’t want to have surgery just for the heck of it) 1/15 death chance if you are severely ill – of course, people with severe
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Lecture 20 06 - Lecture 20 06/05/08 Cancer...

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