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  • Book
    Frances C. Wright, Jaime M. Escallon, Moises Cukier, Melanie E. Tsang, Usmaan Hameed, editors.
    Summary: This third edition manual provides a comprehensive, insightful, evidenced-based review of general surgical oncology and serves as a valuable resource for general surgeons in training, practicing general surgeons, and surgical oncologists. The volume describes a multidisciplinary approach that integrates clinical, radiologic, and pathologic data in formulating practical clinical management, and offers a practical approach to the most common situations when treating cancer patients. Each chapter focuses on an individual malignancy and describes the presentation of the malignancy, integrated management based on stage, landmark trials, and suggestions for who to discuss at multidisciplinary cancer conferences. Multiple tables in each chapter provide a concise yet comprehensive summary of the current status of the field. Clinical "pearls" or tips and tricks from high volume surgeons at the University of Toronto are also discussed. The third edition of the Surgical Oncology Manual will serve as a critical resource for general surgeons in training and practicing surgeons dealing with this challenging field.

    Contents:
    Intro
    Preface
    Acknowledgement
    Contents
    Contributors
    1: Tumors of the Adrenal Gland
    Adrenal Incidentaloma
    Background
    Workup [4]
    Imaging
    Management and Follow-Up [4]
    Indications for Adrenalectomy [4-6]
    Functional Adrenal Tumors
    Pheochromocytoma
    Overview
    Workup
    Perioperative Considerations
    Genetic Testing
    Cushing Syndrome
    Overview
    Workup [4]
    Perioperative Considerations
    Autonomous Cortisol Secretion (Subclinical Cushing Syndrome (SCS))
    Primary Aldosteronism
    Overview
    Workup [4, 6, 26]
    Adrenal Vein Sampling Perioperative Considerations
    Prediction of Cure (Aldosterone Resolution Score)
    Adrenocortical Carcinoma
    Preoperative Workup [33]
    Prognostic Factors
    Operative Considerations
    Adjuvant and Systemic Therapy
    Metastases to the Adrenal Gland
    Workup
    Indications for Resection of Adrenal Metastasis
    References
    2: Ampullary Cancer
    Introduction
    Special Notes
    Special Case: Familial Adenomatous Polyposis (FAP)
    Landmark Trials
    Referring to Multidisciplinary Cancer Conference (MCC)
    Toronto Pearls
    References
    3: Anal Cancer
    Introduction
    Terminology Risk Factors and Precursor Lesions
    Anal Cancer
    Prevention and Screening
    Referring to Medical Oncology
    Referring to Radiation Oncology
    Referring to Multidisciplinary Cancer Conference
    Toronto Pearls
    References
    4: Breast Cancer
    Introduction
    Benign, but Worrisome
    Ductal Carcinoma In Situ
    DCIS Recurrence
    DCIS and the Axilla
    Invasive Breast Cancer
    Special Notes
    Breast-Conserving Surgery
    Absolute Contraindications to BCS
    Relative Contraindications to BCS
    Trials for BCS Versus Mastectomy Meta-analysis to Assess Surgical Margins in BCS for Early Breast Cancer
    Genetic Testing
    The Axilla
    Approach to the Axilla in Early-Stage Breast Cancer
    Special Notes
    Isolated Tumor Cells and Micrometastases
    Special Notes
    Extranodal Extension
    SLNB Following Neoadjuvant Systemic Therapy
    Summary: Management of the Clinically Node-Negative Axilla in Patients Who Have Not Received Neoadjuvant Chemotherapy
    Considerations of Adjuvant Treatment for Invasive Breast Cancer
    Genomic Assays
    Ovarian Function Suppression
    Locally Advanced Breast Cancer
    Special Notes Inflammatory Breast Cancer
    Special Considerations
    Pregnancy and Breast Cancer
    Special Notes
    Breast Cancer in the Elderly
    Special Notes
    Dense Breasts
    Paget's Disease of the Nipple
    Male Breast Cancer
    Metastatic Breast Cancer
    Locoregional Recurrence of Breast Cancer
    Referral to Medical Oncology
    Referral to Radiation Oncology
    Referring to Multidisciplinary Cancer Conference
    Technical Aspects of Breast Surgery
    Oncoplastic Breast Surgery
    Technical Aspects of Breast Reconstruction aAfter Mastectomy
    Types of Reconstruction
    Implant-Based Reconstruction Autologous Reconstruction
    Digital Access Springer 2020