Cancer in primary care

✍ Scribed by Martin Gore; Douglas Russell

• Publisher: Martin Dunitz
• Year: 2003
• Tongue: English
• Leaves: 313
• Category: Library

✦ Synopsis

Content: Organizing a cancer service --
Cancer services and primary care --
Organization of cancer services --
Organization of palliative care services --
Managing patients with cancer --
Cancer symptoms and their management --
Psychological aspects of cancer in primary care --
Managing side-effects of cancer therapy --
Principles of cancer care --
Cancer prevention --
Heredity and cancer --
Screening for cancer --
Hormones and cancer --
Mechanisms of cancer therapy --
Specific types of cancer --
Lung cancer --
Breast cancer --
Gastrointestinal cancer --
Prostate cancer --
Bladder cancer --
Renal cell cancer --
Germ cell tumours of testis --
Cancer of the endometrium, cervix, vulva and vagina --
Ovarian cancer --
Leukaemia and myeloma --
Lymphoma --
Skin cancer and melanoma --
Sarcomas --
Head and neck, and thyroid cancer --
Neuro-oncology --
Children's cancer --
HIV-associated cancer --
Information --
Interpreting data and evidence --
Sources of information and support for cancer patients.

✦ Table of Contents

Front Matter......Page 1
Contents......Page 5
Contributors......Page 7
Foreword......Page 10
Preface......Page 11
SECTION 1: Organizing a cancer service......Page 12
1. Cancer Services and Primary Care......Page 13
Length time bias......Page 14
Workload in Primary Care......Page 15
Primary health care team......Page 16
Siting of Cancer Care......Page 17
The Cancer Journey......Page 20
The patient perspective......Page 21
References......Page 22
Sectors of Cancer Care......Page 23
Multidisciplinary Teams......Page 24
Targets......Page 25
Further Reading......Page 26
Palliative Care Teams......Page 27
Organizing Palliative Care......Page 28
Clinical nurse specialists......Page 29
References and Further Reading......Page 30
SECTION 2: Managing Patients with Cancer......Page 31
The World Health Organization ladder......Page 32
Adjuvant drugs......Page 33
Cachexia......Page 34
Dysphagia......Page 35
Breathlessness......Page 36
Fractures......Page 37
References and Further Reading......Page 38
Breaking Bad News......Page 39
Ethical Models of Patient?Clinician Relationships......Page 40
Sexual Problems......Page 41
References and Further Reading......Page 42
Nausea and vomiting......Page 43
Bone marrow suppression......Page 44
Hickman lines......Page 45
General side-effects......Page 46
Skin......Page 47
Pelvic irradiation......Page 48
Skin......Page 49
Abdominal and pelvic complications......Page 50
Further Reading......Page 51
SECTION 3: Principles of Cancer Care......Page 52
Aetiology......Page 53
Smoking cessation......Page 54
Alcohol......Page 55
Infections......Page 56
Lung......Page 57
Prostate......Page 58
References and Further Reading......Page 59
Mechanisms of action......Page 60
Cancer Risks Associated with Cancer Predisposition Genes......Page 62
Risk assessment......Page 63
The general practice clinic......Page 67
Clinical management......Page 69
Summary......Page 72
Further Reading......Page 73
The Development, Evaluation and Implementation of Screening......Page 74
The performance of the screening test......Page 75
Screening for Different Cancer Sites......Page 76
Pilot studies for colorectal cancer screening......Page 77
References and Further Reading......Page 78
Breast cancer......Page 79
Endogenous factors......Page 80
Ovarian cancer......Page 81
Male Cancers......Page 82
Testicular cancer......Page 83
Further Reading......Page 84
Agents that inhibit replication or repair processes......Page 85
Drug resistance......Page 86
What is radiotherapy and how does it work?......Page 87
Further Reading......Page 89
SECTION 4: Specific Types of Cancer......Page 90
Screening......Page 91
Management of lung cancer......Page 93
Management of patients with small cell lung cancer......Page 94
Management of mesothelioma......Page 95
References and Further Reading......Page 98
Hereditary breast cancer......Page 99
Investigations......Page 101
Carcinoma in situ......Page 102
Early breast cancer......Page 103
Palliative care......Page 106
Further Reading......Page 107
Pathology......Page 108
Management......Page 110
Gastric Cancer......Page 111
Management......Page 113
Management......Page 114
Management......Page 116
Diagnosis......Page 118
Surgically resectable disease......Page 120
Management of advanced disease......Page 123
Surgery in metastatic disease......Page 124
Further Reading......Page 125
Clinical Presentation and Diagnosis......Page 127
Patient selection......Page 129
Prostatectomy or radical radiotherapy?......Page 130
Treatment of Metastatic Prostate Cancer......Page 131
Future Directions......Page 133
Appendix......Page 135
Oncogenes and growth factors......Page 136
Pathology......Page 138
Investigations......Page 139
Superficial Bladder Cancer......Page 141
Radiotherapy......Page 142
Future developments......Page 143
Appendix......Page 145
Staging and Prognosis......Page 146
Hormonal therapy......Page 148
Interferon alfa and interleukin-2 combination therapy......Page 149
Future directions......Page 150
Further Reading......Page 152
Appendix......Page 153
Pathology......Page 154
Staging......Page 156
Serum markers......Page 157
Metastatic seminoma......Page 160
Further Reading......Page 161
Appendix......Page 162
Clinical features......Page 163
Staging and 5-year survival......Page 165
Radiotherapy......Page 166
Cervical intraepithelial neoplasia......Page 167
Adenocarcinoma......Page 169
Clinical features......Page 170
Staging and survival......Page 171
Radiotherapy......Page 172
Clinical presentation......Page 173
Surgery......Page 174
Morbidity of treatment......Page 175
Further Reading......Page 178
Aetiology......Page 179
Hereditary Ovarian Cancer......Page 181
Screening......Page 182
Stage and 5-Year Survival......Page 183
Surgery......Page 184
Chemotherapy......Page 185
Further Reading......Page 186
Classification......Page 187
Clinical features......Page 189
Definition of complete remission......Page 190
Acute myeloid leukaemia......Page 191
Acute lymphoblastic leukaemia......Page 192
Chromosomal findings......Page 193
Management......Page 194
Treatment......Page 195
Investigations......Page 196
Treatment......Page 197
Further Reading......Page 201
Aetiology......Page 202
Non-Hodgkin’s lymphoma......Page 205
Investigations......Page 206
Treatment......Page 207
High-grade non-Hodgkin’s lymphoma......Page 208
Mantle-zone non-Hodgkin’s lymphoma......Page 209
High-dose chemotherapy and stem cell transplant......Page 210
Further Reading......Page 212
Primary prevention and screening......Page 213
Superficial spreading melanoma......Page 214
Subungual malignant melanoma......Page 215
Histology......Page 216
Adjuvant treatment......Page 217
Metastatic disease......Page 218
Epidemiology and aetiology......Page 219
Clinical features......Page 220
Treatment......Page 221
Clinical features......Page 222
Histology......Page 223
Treatment......Page 224
References and Further Reading......Page 225
Diagnosis......Page 227
Management......Page 228
Rhabdomyosarcoma......Page 229
Osteosarcoma......Page 230
Management......Page 231
Presentation......Page 232
Further Reading......Page 233
Pathology......Page 234
Clinical Presentation......Page 236
Neck lumps......Page 237
Treatment......Page 238
Oral cavity......Page 239
Oropharynx......Page 240
Palliative care......Page 241
References and Further Reading......Page 244
Classification of Brain Tumours......Page 245
Tumour-directed therapy and support......Page 248
Low-grade gliomas......Page 249
Malignant gliomas......Page 250
Skull base tumours......Page 251
Brain metastases......Page 252
Further Reading......Page 253
Aetiology......Page 254
Clinical Assessment and Differential Diagnosis of the Child with Suspected Cancer......Page 256
Investigations......Page 260
Treatment......Page 261
Care of the Dying Child......Page 262
Future Trends......Page 264
Further reading......Page 267
Incidence......Page 268
Non-Hodgkin’s lymphoma......Page 269
Hospital......Page 270
Non-Hodgkin’s lymphoma......Page 271
Further Reading......Page 272
SECTION 5: Information......Page 273
Coding Systems......Page 274
Grades of recommendations......Page 275
Further Reading......Page 276
Using this Chapter......Page 277
Irish Cancer Society......Page 278
Ulster Cancer Foundation......Page 279
British Liver Trust......Page 280
Kidney Cancer UK......Page 281
RV Club......Page 282
Neuroblastoma Society......Page 283
National Association of Laryngectomee Clubs NALC......Page 284
British Association for Counselling and Psychotherapy......Page 285
Counsel and Care......Page 286
Books and Reports......Page 287
Alkylating agents......Page 289
Grade......Page 290
Phase I trials......Page 291
Parametric and non-parametric......Page 292
Univariate......Page 293
Index......Page 294