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Difference between revisions of "Basics"
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→Clinician talk: tweak
(→See also: +blood work) |
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==Clinician talk== | ==Clinician talk== | ||
=== | ===Tumour remaining=== | ||
*" | R classification:<ref>URL: [http://www.informedicalcme.com/colon-cancer/tnm-stage-groupings/ http://www.informedicalcme.com/colon-cancer/tnm-stage-groupings/]. Accessed on: 27 March 2012.</ref> | ||
*" | *"RX resection" = residual tumour cannot be assessed. | ||
*" | *"R0 resection" = clean margin macroscopically & microscopically. | ||
*"R1 resection" = microscopic tumour left. | |||
*"R2 resection" = macroscopic tumour left. | |||
Surgeons use this terminology. Essentially, it is the margin status. It is nice when the surgeon's assessment and the pathologist's are in agreement. | |||
=== | Note: | ||
*Generally, positive margins suck; in locally advanced rectal cancer survival, in one study,<ref name=pmid17614249>{{cite journal |author=Larsen SG, Wiig JN, Dueland S, Giercksky KE |title=Prognostic factors after preoperative irradiation and surgery for locally advanced rectal cancer |journal=Eur J Surg Oncol |volume=34 |issue=4 |pages=410–7 |year=2008 |month=April |pmid=17614249 |doi=10.1016/j.ejso.2007.05.012 |url=}}</ref> five year survival was found to be 60%, 31% and 0% for R0, R1, and R2 resections respectively. | |||
===Performance status=== | |||
*ECOG - score from 1-5 for performance status.<ref name=pmid7165009>{{cite journal |author=Oken MM, Creech RH, Tormey DC, ''et al.'' |title=Toxicity and response criteria of the Eastern Cooperative Oncology Group |journal=Am. J. Clin. Oncol. |volume=5 |issue=6 |pages=649–55 |year=1982 |month=December |pmid=7165009 |doi= |url=}}</ref> | *ECOG - score from 1-5 for performance status.<ref name=pmid7165009>{{cite journal |author=Oken MM, Creech RH, Tormey DC, ''et al.'' |title=Toxicity and response criteria of the Eastern Cooperative Oncology Group |journal=Am. J. Clin. Oncol. |volume=5 |issue=6 |pages=649–55 |year=1982 |month=December |pmid=7165009 |doi= |url=}}</ref> | ||
**ECOG = Eastern Cooperative Oncology Group. | **ECOG = Eastern Cooperative Oncology Group. | ||