48,466
edits
Difference between revisions of "Basics"
Jump to navigation
Jump to search
→Clinician talk: tweak, promote section
(→Tumour remaining: +link to main) |
(→Clinician talk: tweak, promote section) |
||
| Line 549: | Line 549: | ||
{{main|Pathology and food}} | {{main|Pathology and food}} | ||
==Tumour remaining== | |||
{{Main|Surgical margins}} | {{Main|Surgical margins}} | ||
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> | ''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. | *"RX resection" = residual tumour cannot be assessed. | ||
*"R0 resection" = clean margin macroscopically & microscopically. | *"R0 resection" = clean margin macroscopically & microscopically. | ||
| Line 561: | Line 561: | ||
Note: | Note: | ||
*Generally, positive margins suck | *Generally, positive margins suck. For example, in locally advanced rectal cancer, 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. | ||
==Clinician talk== | |||
===Performance status=== | ===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> | ||