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11.
Curative local excision of rectal adenocarcinoma 总被引:3,自引:0,他引:3
The records of all 28 patients with rectal adenocarcinoma treated by potentially curative local excision by one surgeon (A.M.C.) between 1970 and 1984 were reviewed. Patient age, sex, tumour size, site, degree of differentiation and level of invasion are reported. The procedure was associated with no mortality and minimal morbidity. Twenty-two patients, followed for an average of 51 months, have either died of other causes or remain free of recurrent or disseminated malignancy. Six patients have required further surgery for local recurrence. Of these, one patient has had a repeat local excision while the remaining five patients have had an abdominoperineal excision of the rectum. All six patients, followed since the second operation for an average of 50 months, are free of further recurrent or disseminated disease. The results reported in this review suggest that in a selected group of patients with rectal adenocarcinoma curative local excision may offer a safe alternative to more radical forms of surgery. 相似文献
12.
Background
Previous studies regarding the use of information technologies (IT) specifically among pediatricians and other physicians who treat children are lacking. As such, the objective of this study is to examine the use of electronic health record (EHR) systems and other IT applications among pediatricians and other child health providers (CHPs) in Florida. 相似文献13.
14.
The first 150 words of the full text of this article appear below. Key points Cancer pain management services must integrate withpalliative and primary care. Pain is common in cancer and usuallyoccurs in more than one site. Careful assessment and treatmentsaimed at the causes of the pain are essential. Optimal oralpharmacotherapy manages more than 75% of patients with cancerpain. If specific anti-cancer therapy, drugs, physical andpsychological treatments fail, then more invasive therapiesshould be considered early.
General principles of cancer pain management
Pain management must involve treating the cause of the painwhere possible, for example appropriate use of antibiotics forinfection, fixation for fractures, spinal stabilization. Wherethe cause of pain cannot be removed entirely, treatment shouldbe directed at modifying the disease process if possible, forexample palliative radiotherapy and/or chemotherapy, bisphosphonatesfor hypercalcaemia, surgery for bowel obstruction. Attentionto a patient's physical environment is important and simplemeasures, for example use of appropriate mattresses, orthotics,and mobility or bathing aids, . . . [Full Text of this Article]
Analgesic pharmacotherapy