Get ABC of Colorectal Cancer PDF

By Annie M. Young, Richard Hobbs, David J. Kerr

ISBN-10: 0585394008

ISBN-13: 9780585394008

ISBN-10: 0727915266

ISBN-13: 9780727915269

Many advances within the therapy of eye stipulations have taken position because the 3rd variation of ABC of Eyes was once released. This e-book takes a symptom-based method of the remedy and prognosis of eye difficulties. it's been absolutely up to date with an increased model of the bankruptcy on refractive mistakes and sections on glaucomas rewritten. new chapters were extra on age-related macular degeneration and the worldwide influence of eye problems.

This best-selling ABC can be a useful source for an individual who offers with eye difficulties in fundamental care or in an emergency division.

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As liver metastases are common, a protocol that includes regular liver imaging to detect potentially resectable lesions may prove more effective. Further studies are needed to assess the value of this approach in patients undergoing apparently curative resection for colorectal cancer. Further reading x Bruinvels DJ, Stiggelbout AM, Kievit J, Van Houwelingen HC, Habbema JDF, van de Velde CJH. Follow-up of patients with colorectal cancer: a meta-analysis. Ann Surg 1994;219:174-82. x Kjeldsen B, Kronberg O, Fenger C, Jorgensen O.

2 Costs of follow up, suggested by recent study from Italy x x x x £2530 per patient over five years £9050 per recurrence detected £39 890 for each case undergoing further surgery £91 190 for each “cured” patient Wrong target? Clearly, follow up as currently practised is ineffective. Why, therefore, should we continue to follow patients up after apparently curative resection for colorectal cancer? There are several reasons. Firstly, we should do so to provide psychological support and advice; many patients welcome the reassurance that regular check up provides.

Carcinoembryonic antigen was measured in all patients at frequent intervals. In the intervention group, a rising antigen concentration prompted further investigation, including second look laparotomy, if appropriate. Preliminary analysis showed no difference in survival between the two groups. The failure to show a survival advantage in the intervention group may be due to the fact that a rising antigen concentration is a relatively poor predictor of local recurrence; furthermore, even in patients with liver metastases a rising concentration is a relatively late phenomenon.

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ABC of Colorectal Cancer by Annie M. Young, Richard Hobbs, David J. Kerr

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