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Cancer is one of the most exciting specialties in medicine. This book aspires to convey the authors' enthusiasm for oncology and this new edition of Oncology Lecture Notes is a must for students and trainees.
There has been a revolution in the practice of oncology. The changes are due to amazing advances in basic science, and the development of new drugs and successful immunisation programmes that have followed. Cancer death rates have fallen and this is in part due to radical new treatments, effective screening programmes, and also, as a result of popular movements for change in patient care, and decreased exposure to carcinogens.
Completely revised and updated, this new edition of Oncology Lecture Notes describes advances in molecular biology research and highlights the importance of patient perspectives in cancer care. The text includes many new figures and tables, an update of molecular biology and highlights new treatments. With learning objectives and key point summaries in each chapter, Oncology Lecture Notes is an ideal introduction to the biological basis and principles of treatment in oncology.
Includes a companion website at www.lecturenoteseries.com/oncology featuring cases and self-assessment MCQs.
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Mark BowerProfessor of OncologyChelsea and Westminster Hospital and Imperial College School of Medicine London, UKJonathan WaxmanProfessor of OncologyHammersmith HospitalImperial College School of MedicineLondon, UK
This edition first published 2015 © 2015 by John Wiley & Sons, Ltd Previous editions: 2006, 2010 © Mark Bower and Jonathan Waxman
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Library of Congress Cataloging-in-Publication Data
Bower, Mark, author. Lecture notes. Oncology/Mark Bower, Jonathan Waxman-Third edition. p.; cm. Oncology Oncology lecture notes Includes bibliographical references and index. ISBN 978-1-118-84209-6 (pbk.) I. Waxman, Jonathan, author. II. Title. III. Title: Oncology. IV. Title: Oncology lecture notes. [DNLM: 1. Neoplasms. QZ 200] RC254.5 616.99′4–dc23
2015004427
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Cover image: Stockphoto@royalsrockphoto
Preface
About the companion website
Part 1 Introduction to oncology
1 What is cancer?
Epidemiological perspective
How to read a histology report
A histopathological definition of cancer: is it malignant or benign?
Cancer epidemiology
Cancer charities
2 The scientific basis of cancer
The hallmarks of cancer
How to acquire the six capabilities (enabling hallmarks)
Additional capabilities of cancers (emerging hallmarks)
Genome instability
Genetic causes of cancer
Environmental causes of cancer
Worldwide contributions to cancer
3 The principles of cancer treatment
Appropriate care
Cancer staging
Performance status
Prognosis: it is not cancer, is it doc?
Surgical oncology
Radiotherapy
Chemotherapy
Endocrine therapy
Immunological therapy
Targeted therapies
Clinical trials
Palliative care
4 Cancer and people
Social and psychological aspects of cancer
Unconventional treatments
Ethics
Sociology of oncology
Part 2 Types of cancer
5 Breast cancer
Epidemiology
Presentation and screening
Diagnosis
Staging and grading
Treatment
Carcinoma
in situ
Paget’s disease of the nipple
Male breast cancer
6 Central nervous system cancers
Epidemiology
Aetiology
Pathology
Presentation
Investigation and staging
Treatment
Prognosis
7 Oesophageal cancer
Epidemiology and pathogenesis
Prevention
Presentation
Staging and grading
Treatment
Prognosis
8 Gastric cancer
Epidemiology and pathogenesis
Presentation
Staging and pathology
Treatment
Survival
9 Hepatobiliary cancer
Epidemiology
Pathogenesis
Prevention
Presentation
Staging and grading
Treatment
Prognosis
10 Pancreatic cancer
Epidemiology
Pathogenesis
Presentation
Staging and grading
Treatment
Prognosis
Pancreatic endocrine tumours
11 Colorectal cancer
Epidemiology
Pathogenesis
Presentation
Diagnosis
Staging and grading
Treatment
Management of metastatic disease
Screening
12 Kidney cancer
Epidemiology
Pathogenesis
Presentation
Outpatient diagnosis
Staging and grading
Treatment
Anti-angiogenic therapy
Targeted therapy
Prognosis
13 Bladder cancer
Epidemiology
Pathogenesis
Presentation
Staging and grading
Treatment
Prognosis
14 Prostate cancer
Epidemiology
Pathogenesis
Presentation
Staging and grading
Treatment
Prognosis
Screening
15 Testis cancer
Epidemiology
Pathogenesis
Presentation
Staging and grading
Treatment
Prognosis
16 Gestational trophoblastic disease
Epidemiology
Pathogenesis
Presentation
Treatment
Prognosis
17 Cervical cancer
Epidemiology
Pathogenesis
Screening
Prevention (vaccination)
Presentation
Outpatient diagnosis
Staging and grading
Treatment
Cervical intraepithelial neoplasia
Prognosis
Terminal care
18 Endometrial cancer
Epidemiology
Pathogenesis
Presentation
Treatment and prognosis
19 Ovarian cancer
Epidemiology
Pathogenesis
Screening
Presentation
Staging and grading
Treatment
Prognosis
20 Head and neck cancers
Epidemiology
Pathogenesis
Clinical presentation
Treatment
Prognosis
Salivary gland tumours
21 Thyroid cancer
Epidemiology
Pathogenesis
Presentation
Investigations
Treatment
Prognosis
22 Adrenal cancers
Epidemiology of adrenal cortical cancers
Presentation of adrenal cortical cancers
Investigations of adrenal cortical cancers
Initial treatment of adrenal cortical cancers
Treatment of metastatic or locally advanced adrenal cortical cancer
Prognosis of adrenal cortical cancers
Adrenal medullary tumours
23 Carcinoid tumours
Presentation
Investigations
Treatment
Prognosis
24 Pituitary tumours
Epidemiology and pathology
Treatment
25 Parathyroid cancers
Epidemiology and pathology
Multiple endocrine neoplasia
Presentation and treatment
26 Lung cancer
Epidemiology
Smoking and prevention
Pathogenesis
Screening
Presentation
Pathology
Staging and grading
Treatment
27 Mesothelioma
Epidemiology
Pathogenesis
Presentation
Investigations
Treatment
Prognosis
28 The leukaemias
Epidemiology
Pathogenesis
Presentation
Investigations and classification
Treatment
29 Hodgkin’s lymphoma
Epidemiology
Pathogenesis
Presentation
Investigations
Pathology
Staging
Treatment and side effects
Complications of chemotherapy
30 Non-Hodgkin’s lymphoma
Epidemiology
Pathogenesis
Presentation
Staging and grading
Treatment
31 Myeloma
Epidemiology
Pathogenesis
Presentation
Investigations
Treatment
32 Non-melanoma skin tumours
Epidemiology
Pathogenesis
Presentation
Treatment
Prognosis
33 Melanoma
Epidemiology
Pathogenesis
Presentation
Staging and grading
Treatment
Prognosis
34 Paediatric solid tumours
Epidemiology
Pathogenesis
Presentation and management of paediatric solid tumours
Presentation and management of CNS tumours
Presentation and management of lymphomas
Presentation and management of soft tissue sarcomas and bone tumours
Presentation and management of neuroblastoma
Presentation and management of Wilms’ tumours (nephroblastoma)
Presentation and management of retinoblastoma
Presentation and management of liver tumours
Complications of childhood treatment of cancer
35 Cancers in teenagers and young adults
Epidemiology
Presentation and management of paediatric solid tumours
36 Bone and soft tissue sarcomas
Epidemiology
Pathogenesis
Presentation
Investigations and management of bone sarcomas
Treatment of Ewing’s sarcomas
Treatment of osteosarcomas
Investigations and management of soft tissue sarcomas
Treatment of soft tissue sarcomas
37 Cancer of unknown primary
Epidemiology and pathogenesis
Clinical sites of metastatic spread
Clinical CUP syndromes
Histopathological characterization
Use of tumour markers
Approach to investigation of metastatic disease to establish primary site
38 Immunodeficiency-related cancers
Hereditary or primary immunodeficiency
Acquired or secondary immunodeficiency
Tumours in HIV patients
Tumours in primary immunodeficiency
Management of immunodeficiency-associated malignancies
Part 3 The practice of oncology
39 Paraneoplastic complications of cancer
Paraneoplastic endocrine complications
Paraneoplastic neurological conditions
Paraneoplastic dermatological conditions
Cachexia
40 Oncological emergencies
Metabolic disorders
Tumour lysis syndrome
Mechanical complications
Malignant effusions
Haematological disorders
Myelosuppression
Anaemia
Thrombocytopenia
41 End-of-life care
Pain control
Care of the dying patient
The last hours and days
Bereavement
The culture of death and dying
42 Cancer survivorship
Index
EULA
Chapter 1
Table 1.1
Table 1.2
Table 1.3
Table 1.4
Table 1.5
Table 1.6
Table 1.7
Table 1.8
Table 1.9
Chapter 2
Table 2.1
Table 2.2
Table 2.3
Table 2.4
Table 2.5
Table 2.6
Table 2.7
Table 2.8
Table 2.9
Table 2.10
Table 2.11
Table 2.12
Table 2.13
Chapter 3
Table 3.1
Table 3.2
Table 3.3
Table 3.4
Table 3.5
Table 3.6
Table 3.7
Table 3.8
Table 3.9
Table 3.10
Table 3.11
Table 3.12
Table 3.13
Table 3.14
Table 3.15
Table 3.16
Table 3.17
Chapter 4
Table 4.1
Table 4.2
Chapter 5
Table 5.1
Table 5.2
Table 5.3
Table 5.4
Chapter 6
Table 6.1
Table 6.2
Table 6.3
Table 6.4
Table 6.5
Table 6.6
Chapter 7
Table 7.1
Table 7.2
Chapter 8
Table 8.1
Table 8.2
Chapter 9
Table 9.1
Table 9.2
Chapter 10
Table 10.1
Table 10.2
Table 10.3
Chapter 11
Table 11.1
Table 11.2
Table 11.3
Table 11.4
Chapter 12
Table 12.1
Table 12.2
Chapter 13
Table 13.1
Table 13.2
Table 13.3
Chapter 14
Table 14.1
Table 14.2
Chapter 18
Table 18.1
Table 18.2
Chapter 19
Table 19.1
Table 19.2
Chapter 20
Table 20.1
Table 20.2
Chapter 21
Table 21.1
Table 21.2
Chapter 23
Table 23.1
Chapter 24
Table 24.1
Chapter 25
Table 25.1
Chapter 26
Table 26.1
Chapter 27
Table 27.1
Table 27.2
Chapter 28
Table 28.1
Table 28.2
Table 28.3
Table 28.4
Chapter 29
Table 29.1
Chapter 30
Table 30.1
Table 30.2
Table 30.3
Table 30.4
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