It is one of the treatments for CANCER, but is it the Best?

Track 5: Cancer Surgery

The removal of tissue from the body is called Surgery. About 60% of patients will undergo some type of surgery to treat their cancer. In some cases, surgery is the only treatment required. It may also be combined with chemotherapy or radiation as part of an overall treatment plan. The place, type, size, stage of cancer and our general health, determine whether surgery is needed.

The several types of cancer surgery are:

  • Curative surgery
  • Preventive surgery
  • Reconstructive surgery
  • Staging surgery
  • Supportive surgery
  • Palliative surgery
  • Minimally invasive surgery

It is one of the treatments for CANCER, but is it the Best?

Submit your abstract and let us know what your research says.


One thought on “Track 5: Cancer Surgery

  1. As with all stage 4 cancers, metastatic breast cancer’s protocol does not include surgery. I believe 18 years ago oncologists determined any kind of surgery too risky to the patients’ well being. After reading a study reviewing 20,0000+ MBC patients and the use of surgery after the cancer had metastasized, the finding was clear – surgical procedures added months and even years to their lives and did not affect their QoL as we are led to believe. I do not have the report handy, but I did pass it along to my oncologist at the time, who did not want to refer me to a surgeon. After reading the study, he agreed that the size of my breast tumor wouldn’t require highly invasive surgery.

    He then agreed with argument that removing the 4mm tumor would if nothing else psychologically improve my well being, and had a minimal chance of creating a medical decline in my health.

    Finding a surgeon was another matter: the first one I visited with asked why I was in his office and that “we don’t operate on stage four patients.” I thanked him, found another surgeon who not only agreed, but advocated for surgery as part of the range of treatment options available to metastatic cancer patients. Using radio mammography and a wire to guide him, my tumor was removed. Further, and equally as important, my tumor tissue provided a chance for a fresh biopsy. This helped the oncology team to understand any genetic changes in the cancer (HR+ PR/ ER) and the cancer had gone from enjoying a diet of primarily progesterone to craving estrogen. While in my case it didn’t change my infusions much at all, in other cases it might

    I was diagnosed de novo stage 4 /1A with sporadic bone mets in March of 2015. The inconclusive mammograms I had throughout my 40s could not locate my tumors due to dense breast tissue. I’d received, by December of 2016: three months of tamoxifen; 2 1/2 rounds of Xeloda; and 14 months of Xegva, Faslodex and Xolodex.

    My oncology team began to see me irregularly and at four month intervals. I became unwell and determined a change was necessary to prolong my life and Stanford’s currently doing a fantastic job of treating me as a whole patient – oncology, palliative oncology, psych-onc, genetic oncology, and other non medical treatments and augmentations such as yoga and nutrition. I see my current oncologist once a month as well as the palliative team. I was t well when switching at my request to Stanford, and I was hospitalized for a week after filling several times with 6+ liters of ascites and a massive case of opiate induced constipation. A CT picked up two cracked ribs and two lesions on my liver. Immediately my one prescribed Ibrance. Today i began my 9th cycle, and living with no evidence of active disease for the time being and a strong self advocate for my own healthcare.

    Surgery must resurface as a treatment option for metastatic patients, and after 19 years come back into the conversations and protocols when applicable to the patient’s health and well being.

    Liked by 2 people

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