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Early Diagnosis and Treatment of Cancer Series: Colorectal Cancer E-Book

Early Diagnosis and Treatment of Cancer Series: Colorectal Cancer E-Book

Susan Gearhart | Nita Ahuja | Stephen C. Yang

(2010)

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Book Details

Abstract

Each volume in the Early Detection and Treatment of Cancer Series is packed with practical, authoritative information designed to cover the full range of diagnostic procedures, including pathologic, radiologic, bronchoscopic, and surgical aspects. You’ll be able to determine the safest, shortest, least invasive way to reach an accurate diagnosis; stage the disease; and choose the best initial treatment for early stages. Based on current evidence in the literature, authors provide clinical, hands-on tools to help you make informed decisions on precisely what tests and imaging studies are needed to diagnose and stage each type of cancer. Practical, authoritative, and highly-illustrated, this volume in the brand new Early Detection and Treatment of Cancer series covers current protocols and the latest advances in diagnostic imaging and molecular and serologic markers for colon cancer. Apply expert advice on the best “next-step” plan for different presentations and tips for less invasive protocols. Get clinical, hands-on tools to help you make informed decisions on precisely what tests and imaging studies are needed for accurate diagnosis and staging. Clear figures, tables, and boxes illustrate step-by-step care of the full range of problems encountered. The small size and convenient format make this an ideal purchase for diagnostic reference.

  • Outlines the steps after diagnosis to guide you through formulating a treatment or patient care plan.
  • Emphasizes important points—such as risk-adjusted screening for staging and the use of promising new gene therapies—with “key points” boxes at the beginning of each chapter and pedagogic features throughout.
  • Summarizes the process of accurately diagnosing and staging cancer in a logical, almost algorithmic, approach for easy reference.
  • Complements the procedures outlined in the text with full-color photographs and line drawings to reinforce your understanding of the material.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Early Diagnosis and Treatment of Cancer: Colorectal Cancer iii
Copyright Page iv
Table of Contents xi
Dedication v
Series Preface vii
Preface ix
Contributors xiii
Chapter 1. Epidemiology and Risk Factors of Colorectal Cancer 1
Epidemiology 1
Risk Factors 5
Mortality 8
Economic Burden of Disease 9
Conclusion 9
References 10
Chapter 2. Presentation andInitial Evaluation ofColorectal Cancer 13
Presentation 13
Initial Evaluation 16
Conclusion 18
References 18
Chapter 3. Hereditary Colorectal Cancerand Polyp Syndromes 21
Introduction 21
Hereditary NonpolyposisColorectal Cancer 21
Familial Adenomatous Polyposis 24
MYH-Associated Polyposis 25
APC I1307K Mutation 26
Familial/Juvenile Polyposis Coli 26
Cowden Syndrome 27
Bannayan-Riley-Ruvalcaba Syndrome(Bannayan-Zonana Syndrome) 28
Peutz-Jeghers Syndrome 28
References 29
Chapter 4. Genetic Screening 31
Introduction 31
Proper Use of Clinical Genetic Testing 31
The Genetic Counseling Process 33
Genetic Testing for ColorectalCancer Syndromes 36
Genetic Testing for Juvenile Polyposis 43
Conclusion 44
References 45
Chapter 5. Behavior and DietaryModifi cation in the Preventionof Colon Cancer 47
Introduction 47
Macronutrients 48
Vitamins and Micronutrients 53
Lifestyle 55
Conclusion 59
References 59
Chapter 6. Chemoprevention ofColorectal Cancer 65
Introduction 65
Nonsteroidal Anti-infl ammatory Drugs 65
Ursodeoxycholic Acid 68
Hormones 69
Minerals and Vitamins 70
Curcumin 71
Diet and Exercise 71
References 72
Chapter 7. Fecal Occult Blood Test 75
Introduction 75
Types of Fecal Occult Blood Tests 75
General Advantages and Disadvantagesof Fecal Occult Blood Tests 76
Specifi c Characteristics ofthe g-FOBT and FIT 79
Conclusions 80
References 80
Chapter 8. Colonoscopy and FlexibleSigmoidoscopy in ColorectalCancer Screening andSurveillance 83
Introduction 83
Indications for Screening 83
Findings on Endoscopic Evaluation 86
Screening and Surveillance Tools 86
Current Recommendations 88
Special Populations 90
New Directions 90
Conclusion 91
References 91
Chapter 9. Stool and Blood Samplingfor Early Detection ofColorectal Cancer 93
Introduction 93
Screening Blood 97
Screening Stool 98
Conclusion 102
References 102
Chapter 10. Radiologic Techniques:Virtual Colonoscopy 107
Introduction 107
Principles and Supporting Literature 107
Technique 108
Interpretation Strategies 111
Reporting 111
Current Controversies 115
Future Directions 115
Conclusions 116
References 116
Chapter 11. Preoperative Evaluation 117
Preoperative Preparation 117
Specifi c Medical Considerations 119
Postoperative Analgesia 122
Conclusion 124
References 124
Chapter 12. Limited Resection: Indications,Techniques, and Outcomes ofTransanal Excision andTransanal EndoscopicMicrosurgery 127
Introduction 127
Long-term Outcomes AfterLocal Excision 128
Patient Selection 128
Operative Techniques 130
Radical Resection ImmediatelyAfter Local Excision 131
Follow-up and Salvage TherapyAfter Local Excision 131
Conclusion 132
References 132
Chapter 13. Endoscopic Techniques inColorectal Neoplasia 135
Introduction 135
Endoscopic Resection 135
Colorectal Self-Expandable Metal Stents 139
References 144
Chapter 14. Open Surgical Techniquesin Colorectal Cancer 145
Introduction 145
Surgical Oncologic Principles:Historical Perspective 145
Staging the Extent of Cancer Resection 147
Lymphadenectomy 147
Colon 148
Rectum 154
References 165
Chapter 15. Systemic Therapy forColon Cancer 167
Introduction 167
Metastatic Colorectal Cancer 167
Duration of Therapy 176
Adjuvant Systemic Therapy 177
Future Directions 179
References 180
Chapter 16. Radiation Therapy forColorectal Adenocarcinoma:External Beam andIntraoperative RadiationTherapy 185
Background 185
External Beam Radiation Therapyfor Rectal Cancer 186
Intraoperative Radiation Therapy:Overview 187
HDR-IORT for Locally AdvancedRectal Cancer 193
Locally Recurrent Rectal Cancer 194
Re-irradiation 195
IORT Toxicity 195
Functional Outcome and Quality of Life 196
Role of Adjuvant EBRT in LocallyAdvanced Colon Cancer 196
Conclusions and Future Directions 197
References 198
Chapter 17. Surveillance and Follow-up 201
Introduction 201
Overview of Prospective Evidence 203
Frequency and Duration 206
History and Physical Examination 207
Carcinoembryonic Antigen Testing 208
Computed Tomography 212
Colonoscopy 213
Positron Emission Tomography 215
Summary 215
References 216
Chapter 18. Clinical Trials: Why Participate 219
Introduction 219
Types of Clinical Trials 219
Phases of a Clinical Trial 220
Clinical Trial Designs 220
Participation in a Clinical Trial 221
Multicenter Clinical Trial 222
References 223
Chapter 19. Vaccines and Immunotherapy 225
Introduction 225
Immunotherapy—An Overview 225
Immunotherapy and Metastases 235
Conclusion 236
References 236
Chapter 20. Genetic Profi ling inColorectal Cancer 239
Introduction 239
Types of Genetic Profi ling 240
Practical Issues in Genetic Profi ling 244
Future Directions 248
References 248
Chapter 21. Coping with Colorectal Cancer 251
Introduction 251
Physical and Psychosocial Aspectsof Colorectal Cancer 251
Perspective and Concerns of the Patient 253
Types of Cancer Support Resources 255
Other Considerations After a Diagnosisof Colorectal Cancer 256
Late Effects versus Long-Term SideEffects of Cancer Treatment 256
What Is It Like to Be a Cancer Survivor 256
The Caregiver’s Perspective 258
ConclusionDespite advances 259
References 259
Websites 259
Chapter 22. Conclusion 261
References 261
Index 263