Surgical Oncology Introduction

Oncology Orchestra

•General Physician

•Radiology Specialist

•Pathology Specialist

•General Surgeon

•Surgical Oncologist

•Medical Oncologist

•Radiotherapy Oncologist

•Oncologic Nursing Specialist

•Palliative Medicine

•Medical Rehabilitation

•Nutrition specialist

•Psychologist etc

3 Factors

•Tumor Factors

•Patients Factors

•Doctor & Hospital Factors

Tumor Factors

•Clinical diagnosis

•Microscopic diagnosis

•Lymphatic metastase

•Hematogenic metastase

Patient Factors

•Physical General Status

•Psychological Status

•Socioeconomic Factors

Doctor & Hospital factors

•Competence of Doctors

•Supporting Facilities

Tumors

•Clinical diagnostic

•Microscopic diagnostic

•Treatment Planning

•Curative treatment or non curative Palliative treatment

•Temporary or definitive

Microscopic

•Tumor type

•Carcinoma, Sarcoma, Blastoma (embryonal), Lymphoreticular

•Histopathological grading

•Extent of the disease to surounding tissue

Natural History of Cancer

•Dysplasia

•Carcinoma (malignancy in situ)

•Invasive type/ Infiltrating type

•Local extension

•Spreading lymphatic or haematogenic

•Special: Basal cell carcinoma

  Locally destruction

TNM Staging

•Tumor

•Node (Lymph node)

•Metastase

To indicate treatment planning

To indicate prognosis

To facilitate evaluation and exchange of treatment result