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Randomized Clinical Trials in Surgical Oncology, An Issue of Surgical Oncology Clinics -- E-Book

Randomized Clinical Trials in Surgical Oncology, An Issue of Surgical Oncology Clinics -- E-Book

Adam C. Yopp | Ronald P. DeMatteo

(2009)

Additional Information

Book Details

Abstract

This issue of the Surgical Oncology Clinics will review the important clinical trials from the past eight years in following topics: breast cancer, soft tissue sarcoma, rectal and anal carcinoma, pancreatic adenocarcinoma, hepatocellular carcinoma, gastric cancer, esophageal cancer, colon cancer, advanced and metastatic colorectal carcinoma, gastrointestinal stromal tumors, and melanoma.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contents vii
Foreword xiii
Preface xv
Commentary: Randomized Controlled Trials xix
Chapter 1. Randomized Clinical Trials in Soft Tissue Sarcoma 1
SURGERY 1
RADIATION THERAPY 2
CHEMOTHERAPY 2
SUMMARY 3
FUTURE DIRECTIONS 3
LEVEL I EVIDENCE: RANDOMIZED CLINICAL TRIALS 3
DISCLOSURE 10
REFERENCES 10
Chapter 2. Randomized Clinical Trials in Melanoma 13
PRIMARY MELANOMA 13
REGIONAL METASTATIC DISEASE 14
ADJUVANT TREATMENT OF HIGH-RISK MELANOMA 15
TREATMENT OF METASTATIC MELANOMA 16
LEVEL IA EVIDENCE IN MELANOMA 17
DISCLOSURE 28
REFERENCES 28
Chapter 3. Randomized Clinical Trials in Breast Cancer 33
LEVEL IA EVIDENCE: PROSPECTIVE RANDOMIZED TRIALS ADDRESSING ADJUVANT RADIATION OF THE BREAST 40
LEVEL IA EVIDENCE: META-ANALYSIS ANALYZING USE OF POLYCHEMOTHERAPY IN OPERABLE BREAST CANCER 44
LEVEL IA EVIDENCE: PROSPECTIVE RANDOMIZED TRIALS ADDRESSING THE ROLE OF ENDOCRINE THERAPY IN BREAST CANCER PREVENTION AND TREATMENT 49
DISCLOSURE 55
REFERENCES 55
Chapter 4. Randomized Clinical Trials in Esophageal Carcinoma 59
CURATIVEINTENT: SURGERY VERSUS CHEMORADIOTHERAPY 60
CURATIVEINTENT: SURGERYALONEVERSUSNEOADJUVANT THERAPY 60
CURATIVEINTENT: SURGERYALONEVERSUSADJUVANT THERAPY 62
CURATIVEINTENT: DEFINITIVECHEMORADIOTHERAPY VERSUSTRIMODALITY THERAPY 63
CURATIVEINTENT: SURGICALTECHNIQUE 64
CURATIVEINTENT: RADIOTHERAPY TECHNIQUE 65
STAGING 66
PALLIATIVEINTENT: ADJUVANTCHEMOTHERAPY 66
DISCLOSURE 75
REFERENCES 75
Chapter 5. Randomized Clinical Trials in Gastric Cancer 81
SURGERY 81
CHEMOTHERAPY WITH AND WITHOUT RADIATION THERAPY 84
METASTATIC DISEASE 86
LEVEL 1A EVIDENCE: PROSPECTIVE RANDOMIZED CLINICAL TRIALS IN GASTRIC CANCER 87
DISCLOSURE 98
REFERENCES 98
Chapter 6. Randomized Clinical Trials in Gastrointestinal Stromal Tumors 101
SURGERY AND RADIATION 101
CHEMOTHERAPY AND METASTATIC DISEASE 102
ONGOING TRIALS 103
LEVEL IA EVIDENCE: RANDOMIZED CLINICAL TRIALS IN GIST 103
DISCLOSURE 111
REFERENCES 111
Chapter 7. Randomized Clinical Trials in Pancreatic Adenocarcinoma 115
RANDOMIZED CONTROLLED TRIALS IN PANCREAS CANCER BETWEEN1977 AND 2000 115
SURGERY 116
CHEMOTHERAPY 117
MOLECULAR THERAPY 127
GASTROENTEROLOGY 129
NUTRITION 129
RADIATION THERAPY 129
IMMUNOTHERAPY 132
PALLIATIVE THERAPY 132
OTHERS 132
LEVEL IA EVIDENCE: RANDOMIZED CLINICALTRIALSIN PANCREAS CANCER 132
DISCLOSURE 142
REFERENCES 142
Chapter 8. Randomized Clinical Trials in Hepatocellular Carcinoma 151
LOCOREGIONAL THERAPY: SURGERY AND ABLATION 151
ADJUVANT OR PALLIATIVE THERAPY 153
SURGERY 155
ADJUVANT OR PALLIATIVE THERAPY 157
DISCLOSURE 160
REFERENCES 160
Chapter 9. An Update on Randomized Clinical Trials in Advanced and Metastatic Colorectal Carcinoma 163
TRIALS USING DIFFERENT TYPES OF CHEMOTHERAPY 163
TRIALS ON NEOADJUVANT AND ADJUVANT CHEMOTHERAPY FOR RESECTABLE LIVER METASTASES 164
TRIALS FOR HAI REGIONAL CHEMOTHERAPY 165
TRIALS ON MOLECULAR MARKERS OF CHEMOTHERAPY EFFICACY 165
TRIALS ON THE DURATION, DOSING, AND SEQUENCING OF CHEMOTHERAPY 166
LEVEL IA EVIDENCE RANDOMIZED CLINICAL TRIALS 166
DISCLOSURE 179
REFERENCES 179
Chapter 10. Randomized Clinical Trials in Colon Cancer 183
SURGERY 183
ADJUVANT THERAPY 186
SURGICAL TRIALS 188
DISCLOSURE 200
REFERENCES 200
Chapter 11. Randomized Clinical Trials in Rectal and Anal Cancers 205
SURGERY 205
RADIATION 208
CHEMOTHERAPY 209
SUMMARY 211
RANDOMIZED CLINICAL TRIALS IN THE TREATMENT OF EPIDERMOID CANCERS OF THE ANAL CANAL 212
LEVEL 1A EVIDENCE: PROSPECTIVE RANDOMIZED CLINICAL TRIALS IN RECTAL CANCER 212
LEVEL 1A EVIDENCE: PROSPECTIVE RANDOMIZED CLINICAL TRIALS IN ANAL CANCER 216
DISCLOSURE 218
REFERENCES 218
Index 225