By Michael J. Fisch, Eduardo Bruera

ISBN-10: 0521010438

ISBN-13: 9780521010436

At the moment, there is not any accomplished resource of data to be had to non-specialist physicians and nurses supplying end-of-life deal with complicated melanoma sufferers at a degree among expert oncology texts and nursing texts. eminent physicians from one of many world's best melanoma facilities have drawn jointly a outstanding crew to supply a instruction manual which covers the whole variety of difficulties non-specialists will come upon. This hugely available textual content covers basic ideas in oncology, all the basic tumors, and administration of particular indicators and syndromes.

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Geneva: WHO, 1990. 8 World Health Organization. International Classification of Diseases for Oncology. Geneva: WHO, 1976. 9 O’Donnell JR. Acute leukemias. In Cancer Management: A Multidisciplinary Approach, 3rd edn, pp. 575–96. Melville, NY: PRR, 1999. 10 Krueger GR, Medina JR, Nein HO et al. A new working formulation of non-Hodgkin’s lymphomas: A retrospective study of the new NCI classification proposal in comparison to the Rappaport and Kiel classification. Cancer 1983;52:833. 11 Hoelzer D, Thiel E, Loffler H et al.

As will be explained later, corticosteroids, together with radiotherapy, are the elected treatment. The brachial and lumbosacral plexuses are frequent places for metastasic deposits or tumoral relapses. In these cases, a neuropathic pain appears, which has a bad prognosis for its symptomatic control. The most frequent cause of pain by affecting the brachial plexus is the recurrence of breast cancer after mastectomy in the axilla or in the supraclavicular fossa. A differential diagnosis must be carried out with radioinduced plexopathy.

The curve would be one reliable way to summarize the end results of a portion of life for an individual. For example, a treatment that prolongs survival slightly but diminishes quality of life profoundly would not produce much of an incremental gain in the area under the curve. Likewise, a treatment that improves quality of life greatly without improving survival might be beneficial, unless the duration of improvement was particularly short. Using this conceptual model, each treatment decision must involve some judgement about the possible direction, magnitude, and duration of effects on quality of life as well as the expected effect on quantity of life.

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Handbook of Advanced Cancer Care by Michael J. Fisch, Eduardo Bruera


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