Oxford Desk Reference: Oncology by Thankamma V Ajithkumar, Natalie Cook, Helen Hatcher, Ann

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By Thankamma V Ajithkumar, Natalie Cook, Helen Hatcher, Ann Barrett

This easy-to-read, functional consultant distils and compiles all of the disparate literature on melanoma into one succinct quantity. With lots of the issues becoming onto a double-page unfold it allows speedy reference while at the ward. The textual content additionally comprises the basic, evidence-based scientific directions wanted for the secure and powerful administration of sufferers with cancer.

All facets of melanoma and its administration are coated, together with prevention, screening, prognosis and therapy. This functional consultant additionally bargains information regarding dealing with the actual and social concerns which can come up with a prognosis of melanoma, corresponding to assurance, trip and survivorship. a different bankruptcy of administration circulate charts assists speedy, applicable decision-making. Multidisciplinary administration and palliative care also are coated in detail.

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Risk factors High-grade tumours may present with rapidly deteriorating symptoms but in other cases, the onset of symptoms may be more insidious. Lesions in the posterior fossa are more readily seen with MRI than CT. A referral to a neurologist urgently or electively depending on other clinical findings is appropriate. Biopsy is undertaken only by the neurosurgeon. Direct referral to an oncologist Patients who have previously been treated for cancers at other sites may present with the same symptoms if they develop meta-static disease and direct referral to the oncologist who has previously treated them may be appropriate for consideration of palliative radiotherapy.

An urgent referral should be made for patients presenting with either: • Unexplained upper abdominal pain and weight loss, with or without back pain, or • An upper abdominal mass without dyspepsia Patients being referred urgently for endoscopy should ideally be free from acid suppression medication, including proton pump inhibitors, for a minimum of 2 weeks. Investigations of suspected upper GI cancer All patients with new-onset dyspepsia should be considered for a full blood count in order to detect iron deficiency anaemia.

Flexible oesophago-gastro-duodenoscopy (OGD) is the diagnostic procedure of choice Double contrast barium studies have a continuous but limited role in detecting malignant lesions and some early gastric cancers when endoscopy is not feasible Endoscopic ultrasound (EUS) combines high-frequency ultrasonography with OGD and provides a more accurate prediction of depth of tumour invasion, particularly in early cancers. A staging CT scan of the thorax, abdomen, and pelvis is recommended routinely in all patients to demonstrate the size of the primary tumour and its relationship with adjacent organs as well as any enlarged lymph nodes.

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