BASICS ON SURGICAL ONCOLOGY

2. Surgical oncology
Dr Abdullah hemat baheer.
M.D. P.G.D - Fellow Surgical Oncology(sr consultant surgical oncology))
Jamhoryat hospital cancer diagnosis and treatment center

3. Surgical oncologist

4. Surgery in Cancer
Diagnosis & Staging
lap U/S & Biopsy
sampling Lymph nodes
Remove of primary Disease
Remove of primary Disease + lymph node
Remove of metastatic disease
liver metastases – Resection
lung metastases – pulmonary Resection
Palliation
By pass procedures

5. study of neoplastic diseases
ONCOLOGY
ONCOS = TUMOR LOGOS =STUDY

6. ROUTES OF SPREAD
• Direct extension.
• Lymphatic spread.
• Vascular spread ./rarely arteries
• Spread through serous cavities. Peritoneal cavity
• Active transplant

7. SEVEN DANGER SIGNAL
CAUTION
Change in bowel or bladder habits.
A sore that does not heal.
Unusual bleeding or discharge.
Thickening or lump in the breast, testicles, or elsewhere.
Indigestion or difficulty swallowing.
Obvious change in the size, colour, shape, or thickness of a wart, mole, or mouth sore.
Nagging cough or hoarseness.

9. Diagnosis
A.Physical exam
B.Lab exam
C.Radiological procedure

10. Diagnosis
Biopsy
Type of Biopsy
Needle biopsy
Incisional biopsy
Excisional biopsy
Rapid frozen biopsy
Tech slid biopsy

11. Needle biopsy
F.N.A.B
F.N.A.C
CORE Needle Biopsy / true cute Biopsy

12. Therapeutic decision
Team work decision
Team should not only be multidisciplinary they should be
multi .
professional

13. Medical oncology
Surgical oncology
Radiation oncology

14. Thanks