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Modern Thoracic Oncology (In 3 Volumes)

Modern Thoracic Oncology (In 3 Volumes)

Cameron Robert Brian | Olevsky Olga | Gage Diana

(2018)

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Book Details

Table of Contents

Section Title Page Action Price
Volume 1\r 1:C
Contents 1:vii
Foreword 1:v
List of Contributors 1:xi
A. Anatomy and Embryology 1:1
Embryology and Anatomy of the Chest 1:3
Early Development — The First Two Weeks of Gestation 1:3
Embryonic Germ Layers — Week 3 1:4
Somites, Lateral Mesoderm, and the Neural Tube — Week 4 1:5
Heart and Cardiovascular System — Weeks 3 to 8 1:5
Gut, Esophagus, Trachea, and Lungs — Week 3 to 8 Years 1:6
Pharyngeal Arches and Thymus, Weeks 4 to 12 1:8
Thoracic Walls — Weeks 4 to 8 1:9
References 1:10
B. Medical Evaluation of Thoracic Oncology Patients 1:11
Pulmonary Evaluation of Thoracic Oncology Patients 1:13
References 1:17
Cardiac Evaluation of Thoracic Oncology Patients 1:21
Introduction 1:21
Cardiotoxicity of Cancer Therapies: Implications of Chemotherapy and Radiation 1:21
Cardiac Assessment Prior to Surgical Therapy 1:23
Pre-Operative Evaluation: Cardiac Risk Factors and Functional Status 1:23
Pre-operative Coronary Revascularization: Indications and Management 1:24
Perioperative Cardiac Medication Management 1:25
References 1:25
Evaluation of Elderly Patients 1:29
Introduction 1:29
Geriatric Assessment of Cancer Patients 1:30
Assessment of Older Patients Needing Surgery 1:31
References 1:32
C. Imaging of the Thorax 1:35
Standard Radiography 1:37
Computed Tomography 1:39
References 1:40
Positron Emission Tomography (and PET/CT) 1:43
References 1:47
Magnetic Resonance Imaging in Thoracic Malignancies 1:49
MRI Protocol for Thoracic Malignancies 1:49
Indications 1:50
Characterization and Staging of Mediastinal Tumors 1:50
Characterization and Staging of Pleural Tumors 1:53
Characterization and Staging of Chest Wall Tumors 1:56
Osseous, cartilaginous, and muscular tumors 1:56
Vascular tumors 1:58
Neurogenic tumors 1:59
Adipose tumors 1:60
Characterization and Staging of Superior Sulcus Tumors 1:61
Functional Assessment of Diaphragm 1:62
Assessment of Pulmonary Vasculature and Cardiac Function in Preparation for Surgery 1:63
MRI assessment of local tumor invasion 1:63
Cardiac MRI 1:66
References 1:69
Ultrasonography 1:73
Reference 1:74
Imaging’s Contribution to Staging Thoracic Tumors 1:75
Reference 1:77
D. Principles of Thoracic Surgical Oncology 1:79
Choosing Appropriate Resection for Operable Non-Small Cell Lung Cancer 1:81
References 1:89
Thoracic Surgical Lymphadenectomy 1:93
Defined Techniques of Complete Nodal Dissection 1:94
Video-Assisted and Robotically Assisted Node Dissection 1:95
Cervical Approaches: VAMLA/TEMLA 1:96
Data on Lymph Node Sampling versus Complete Lymphadenectomy 1:97
References 1:98
The Role of Minimally Invasive Surgery 1:101
Definition 1:101
Lung Cancer 1:102
Esophageal Cancer 1:103
Thymic Malignancies 1:105
Robotics 1:105
Summary 1:106
References 1:106
E. Principles of Thoracic Radiation Oncology 1:111
Radiation Treatment Planning and Delivery 1:113
Introduction 1:113
Simulation 1:114
Treatment Planning 1:115
Contouring 1:115
Treatment Planning Strategies 1:119
Target Dose and Normal Tissue Constraints 1:121
Conventionally Fractionated Radiotherapy 1:121
Stereotactic Body Radiotherapy 1:122
Motion Management Strategies 1:123
Quality Assurance and Patient Safety 1:130
Image Guided Treatment Delivery 1:130
Conclusion 1:131
References 1:131
Biological Basis of Clinical Radiation Oncology 1:135
Introduction to Fractionation Radiobiology 1:135
Biophysical Interpretation of Radiation Actions 1:136
Altered Fractionation Strategies 1:140
Dose Response Relationships 1:142
Tissue Organization 1:143
Heterogeneous Dose Distribution 1:144
Precision-Oriented Radiation Therapy 1:145
Special Considerations for Thoracic Irradiation 1:148
References 1:150
Radiation Toxicities and Management 1:153
Introduction 1:153
Acute versus late effects 1:153
Pathophysiology of Normal Tissue Injury 1:154
Lungs 1:154
Esophagus 1:156
Heart 1:157
Brachial plexus and spinal cord 1:158
Other normal tissue considerations 1:159
Consequences of Concurrent Chemotherapy 1:160
Mitigators of Normal Tissue Toxicity 1:161
Minimizing target volumes 1:162
Setting dose limits to normal structures 1:163
Radioprotectants 1:164
Amifostine 1:164
Angiotensin inhibitors 1:165
Concurrent smoking 1:166
Stereotactic Radiotherapy (SBRT/SABR) 1:166
Caution with central tumors 1:169
Other reports with modest hypofractionation 1:169
Managing Toxicities 1:170
Pulmonary 1:170
Esophageal 1:170
Cardiac 1:171
References 1:171
F. Principles of Thoracic Medical Oncology 1:181
Principles of Precision Medicine in Lung Cancer 1:183
Introduction 1:183
Driver Mutations in Lung Cancer 1:183
Targeted Therapies 1:189
Immunotherapy 1:191
Response Assessment — Traditional Outcomes and Advancing Technologies 1:192
Prevention 1:194
References 1:194
Commonly used Cytotoxic Agents in Thoracic Oncology 1:197
Platina Salts 1:197
Gemcitabine (dFdC) 2′, 2′-Difluorodeoxycytidine 1:199
Pemetrexed 1:200
Taxanes 1:201
Vinorelbine 1:202
Irinotecan 1:202
Topotecan 1:203
References 1:204
Targeted Biological Agents and Mechanisms 1:211
References 1:215
PD-1 Immunotherapy in Non-Small Cell Lung Cancer 1:217
Introduction 1:217
Mechanism of Action 1:217
Anti PD-1 and Anti PD-L1 Therapies in Advanced, Relapsed NSCLC 1:218
Anti PD-1 as Frontline Treatment in Advanced NSCLC 1:220
Toxicity of PD1/PDL-1 Blockade in NSCLC 1:220
Conclusion 1:221
References 1:221
Adverse Effects Induced by EGFR-TKIs: Rash and Diarrhea — Their Management 1:223
Effects of EGFR-TKI Inhibition on the Epidermis 1:223
Dermatological Adverse Events Induced by EGFR-TKIs 1:223
Acneiform Rash 1:224
Local Care Management Strategies 1:224
Pharmacologic Management Strategies 1:225
Paronychia 1:226
Local Care Management Strategies 1:227
Pharmacologic Management Strategies 1:227
Summary 1:227
Diarrhea Induced by EGFR-TKIs 1:228
Grading and Assessment of Diarrhea 1:228
Management of Diarrhea 1:229
Conclusion 1:230
References 1:230
G. Principles of Other Therapeutic Modalities 1:233
Percutaneous Image-Guided Ablative Therapy 1:235
Radiofrequency Ablation 1:235
Outcomes 1:238
Microwave Ablation 1:238
Outcomes 1:240
Cryoablation 1:241
Outcomes 1:241
Conclusion 1:242
References 1:243
Photodynamic Therapy 1:247
Introduction 1:247
History 1:247
Mechanism of Action 1:248
The Double-Edged Sword of Requiring Visible Light 1:248
FDA-Approved PDT Applications in Thoracic Oncology 1:249
Investigational Applications of PDT in Thoracic Oncology 1:250
Conclusion and Future Challenges 1:250
References 1:251
H. Principles of Supportive and Palliative Care 1:253
Nutrition 1:255
Prevalence and Significance of Malnutrition 1:255
Nutritional Screening and Assessment 1:256
Nutritional Support 1:256
Oral Nutrition 1:257
Enteral and Parenteral Nutrition 1:257
Palliative Surgery and Intraluminal Stents 1:258
Future Directions — Potential for Protein Anabolism 1:258
References 1:259
Chinese Herbal Medicine as Adjunct Therapy in Patients with Lung Cancer 1:261
Practice Guidelines 1:261
Data from Randomized Controlled Trials (RCTs) 1:261
Mechanisms of Therapeutic and Palliative Action 1:262
Clinical Reasoning 1:263
Diagnostic and Therapeutic Strategies 1:263
Study Quality 1:264
Summary 1:264
References 1:264
Integrative and Multidisciplinary Approaches to Pain Management in Lung Cancer 1:269
The Impact of Pain on Lung Cancer Survival and Quality of Life 1:269
Understanding the Multifactorial Nature of Pain 1:269
Surgical and Radiologic Interventions 1:270
Pharmacologic Interventions 1:270
Acupuncture 1:271
Manual Therapies 1:271
Summary 1:272
References 1:272
Acupuncture and the Needs of Patients with Lung Cancer 1:275
Mechanisms of Action — Acupuncture 1:275
Mechanisms of Action — Electroacupuncture 1:276
Clinical Evidence Relevant to Lung Cancer 1:276
Summary 1:276
References 1:277
End-of-Life Care 1:279
Advance Care Planning 1:280
Hemoptysis 1:281
Superior Vena Cava Syndrome 1:282
Malignant Airway Obstruction 1:282
References 1:283
Index 1:287
Volume 2 2:C
Contents 2:vii
Foreword 2:v
List of Contributors 2:xi
Part 1. Trachea and Lung Neoplasms 2:1
A. Tracheal Neoplasms \r 2:3
Epidemiology of Tracheal Neoplasms \r 2:3
References 2:3
Clinical Presentation and Diagnosis of Tracheal Neoplasms 2:5
References 2:7
Pathology and Staging of Tracheal Neoplasms 2:9
Epidemiology 2:9
Etiology — Premalignant Lesions 2:9
Prognosis 2:11
Histology — WHO Classification 2:11
Squamous Cell Carcinoma 2:12
Adenoid Cystic Carcinoma 2:13
Secondary Tumors 2:13
Staging — TNM Classification 2:15
References 2:15
Treatment of Tracheal Neoplasms by Surgery 2:17
Introduction 2:17
Primary and Metastatic Tumors 2:17
Histologic Types 2:18
Presentation 2:18
Evaluation 2:20
Treatment 2:21
Preparation 2:21
Approach 2:21
Resection 2:22
Post-Operative Care 2:22
Operative complications 2:22
Adjuvant Therapy 2:23
Results 2:23
Conclusion 2:23
References 2:24
Treatment of Tracheal Neoplasms by Radiation Therapy 2:25
References 2:27
Prognosis and Surveillance of Tracheal Neoplasms 2:29
References 2:31
B. Non-Small Cell Lung Neoplasms 2:33
Biological Basis of Non-Small Cell Lung Neoplasms 2:33
Molecular Epidemiology and Etiology 2:33
Genomic Classification of Lung Cancer 2:34
Oncogenes, Tumor Suppressor Genes, and Signaling Pathways in Lung Cancer 2:35
Hallmark: Sustaining Proliferative Signaling 2:35
EGFR/HER2/MET Signaling 2:35
RAS/RAF/MAPK Pathway 2:38
Pl3K/AKT/mTOR Pathway 2:39
Insulin Growth Factor (IGF) Pathway and ROS1 2:40
Other Fusion Proteins: EML4-ALK and RET 2:40
Hallmark: Resisting Cell Death and Evading Growth Suppressors 2:40
MYC 2:40
The 3p Tumor Suppressor Genes (TSGs) — Regulators of Apoptosis 2:41
The p53 Pathway 2:41
The p16INK4a-RB Pathway 2:41
Hallmark: Enabling Replicative Immortality 2:42
Hallmark: Inducing Angiogenesis 2:42
Hallmark: Activation Invasion and Metastasis 2:42
Hallmark: Avoiding Immune Destruction 2:43
Lineage-Dependent Oncogenes: SOX2 and NKX2-1 (TITF1) 2:43
Lung Cancer Stem Cells 2:44
Translation of Molecular Data to the Clinic 2:45
References 2:45
Epidemiology of Non-Small Cell Lung Neoplasms 2:61
References 2:64
Clinical Presentation and Diagnosis of Non-Small Cell Lung Neoplasms 2:67
Symptoms Related to Primary Tumor 2:69
Symptoms Related to Metastases 2:69
Constitutional Symptoms and Symptoms Related to Paraneoplastic Syndromes 2:70
Diagnosis and Staging of Lung Cancer 2:70
Radiology studies 2:70
Diagnostic biopsy 2:71
References 2:72
Imaging of Non-Small Cell Lung Neoplasms: Lung Cancer Screening 2:73
Background 2:73
Low dose chest computed tomography (CT) 2:74
Non-randomized control (observational) trials 2:74
Randomized control trials 2:75
DANTE 2:75
NLST 2:76
NELSON 2:77
Risks of Screening 2:78
False positive results in the NLST 2:78
Invasive diagnostic procedures and complications 2:79
Overdiagnosis 2:81
False negative results 2:82
Radiation exposure 2:83
Risk Assessment 2:84
Smoking Cessation 2:86
Recommendations and Coverage 2:86
Implementation and Cost Effectiveness 2:88
Conclusion 2:95
References 2:96
Imaging of Non-Small Cell Lung Neoplasms 2:101
Adenocarcinoma 2:101
Squamous Cell Carcinoma 2:103
Large Cell Carcinoma 2:103
Comparisons to Small Cell Carcinomas and Bronchopulmonary Carcinoid Tumors 2:104
Imaging and Cell Type 2:105
References 2:105
Treatment of Non-Small Cell Lung Neoplasms by Surgery 2:107
Introduction 2:107
Stage I (T1-2 N0) 2:107
Stage II (T1-2 N1, T3N0) 2:108
Stage IIIA (T1-3N2, T3N1) 2:110
Stage IIIB (T4/N3) Stage IV (M1) 2:111
Conclusion 2:112
References 2:112
Treatment of Non-Small Cell Lung Neoplasms by Radiation Therapy 2:117
Radiation Therapy for Early-Stage NSCLC 2:117
Radiation Therapy for Locally Advanced NSCLC 2:119
Consolidation/Palliative Radiation in Metastatic NSCLC 2:121
References 2:121
Treatment of Non-Small Cell Lung Neoplasms by Durg Therapy 2:127
Introduction 2:127
Staging 2:127
Stage I and Stage II NSCLC 2:128
Stage III NSCLC 2:129
Stage IV NSCLC 2:130
Histology 2:130
Targeted Therapy 2:130
Group A: Epidermal Growth Factor Receptor Mutation Positive 2:131
Group B: Anaplastic Lymphoma Kinase (ALK) Mutation Positive 2:133
Group C: Mutation Status Negative or Unknown 2:133
Anti-Angiogenic Agents 2:135
Squamous Histology 2:136
Immunotherapy 2:137
Conclusion 2:138
References 2:138
Prognosis and Surveillance of Non-Small Cell Lung Neoplasms 2:143
Introduction 2:143
Recurrence 2:144
Second Primary Lung Cancer 2:145
Surveillance Modalities 2:146
Clinical Follow-Up 2:147
Radiologic Surveillance 2:148
Low-Dose CT 2:148
Diagnostic CT versus CXR 2:149
PET 2:149
Biomarkers 2:150
Surveillance Team 2:152
Conclusions 2:152
References 2:153
C. Small Cell Lung Neoplasms 2:157
Biological Basis of Small Cell Lung Neoplasms 2:157
Introduction 2:157
Interplay between Loss of Retinoblastoma and TP53 and Neuroendocrine Signaling 2:157
The Role of Transcription Factors in SCLC Pathogenesis 2:158
Receptor Tyrosine Kinase Signaling 2:159
Apoptosis and Cell Cycle Control 2:160
DNA Repair Pathways 2:161
Conclusions 2:161
References 2:162
Epidemiology of Small Cell Lung Neoplasms 2:165
References 2:167
Clinical Presentation and Diagnosis of Small Cell Lung Neoplasms 2:171
References 2:174
Imaging of Small Cell Lung Neoplasms 2:177
References 2:179
Pathology and Staging of Small Cell Lung Neoplasms 2:181
Introduction 2:181
Gross/Microscopic Pathology 2:181
Differential Diagnosis 2:183
Low/Intermediate Grade Neuroendocrine Carcinoma (Typical/Atypical Carcinoid) 2:184
Large Cell Neuroendocrine Carcinoma (LCNEC) 2:184
Extrapulmonary Small Cell Carcinoma 2:185
Staging 2:185
References 2:187
Treatment of Small Cell Lung Neoplasms by Surgery 2:189
References 2:193
Treatment of Small Cell Lung Neoplasms by Radiation Oncology 2:197
Conflict of Interest 2:202
Acknowledgments 2:202
References 2:203
Treatment of Small Cell Lung Neoplasms by Drug Therapy 2:205
Limited Stage SCLC (T1-T2N0M0) 2:205
Limited Stage SCLC (T1-4N1-3M0, Except T3-4 Due to Additional Lung Nodules) 2:206
Extensive Stage SCLC (T1-4N1-3M1a-b) 2:206
References 2:208
Prognosis and Surveillance of Small Cell Lung Neoplasms 2:209
Limited-Stage Small Cell Lung Cancer 2:209
Extensive-Stage Small Cell Lung Cancer 2:211
Recurrent Small Cell Lung Cancer 2:212
Prognosis 2:212
References 2:215
Part 2. Pleural Neoplasms 2:219
A. Malignant Pleural Mesothelioma 2:221
Biological Basis of Malignant Pleural Mesothelioma 2:221
General Mechanisms of Tumorigenesis 2:221
Selected Molecular Pathways 2:223
Epigenetic Changes 2:223
Apoptotic Dysregulation 2:223
Other Oncogene and Tumor Suppressor Pathways 2:223
Recent Advances 2:224
Selected References 2:225
References 2:225
Epidemiology of Malignant Pleural Mesothelioma 2:231
References 2:232
Clinical Presentation and Diagnosis of Malignant Pleural Mesothelioma 2:235
Clinical Presentations 2:235
Diagnosis 2:236
Immunohistochemistry (IHC) 2:237
References 2:238
Imaging of Malignant Pleural Mesothelioma 2:243
Conventional Chest Radiograph 2:243
Computed Tomography 2:244
Positron Emission Tomography and PET/CT 2:245
Magnetic Resonance Imaging 2:246
Modified Response Evaluation Criteria in Solid Tumors (RECIST) 2:249
References 2:250
Pathology and Staging of Malignant Pleural Mesothelioma 2:251
Macroscopic Appearance 2:251
Cytologic Evaluation 2:252
Microscopic Evaluation 2:253
WHO Classification of Diffuse Malignant Pleural Mesothelioma 2:255
Epithelioid Mesothelioma 2:255
Sarcomatoid Mesothelioma 2:256
Desmoplastic Mesothelioma 2:257
Biphasic Mesothelioma 2:258
Immunohistochemistry 2:259
Staging of Malignant Pleural Mesothelioma 2:260
References 2:262
Treatment of Malignant Pleural Mesothelioma by Surgery 2:267
Introduction 2:267
Mesothelioma Characteristics Favoring Surgery 2:267
Mesothelioma Characteristics Against Surgery 2:268
Surgical Rationale 2:269
Types of Surgical Procedures 2:270
Thorascopic Pleurodesis 2:270
Pleurectomy and Decortication (P/D) 2:270
Extended Pleurectomy and Decortication (Extended P/D) 2:273
Partial Pleurectomy 2:273
Extrapleural Pneumonectomy (EPP) 2:274
Outcomes and Survival 2:275
Summary 2:278
References 2:278
Treatment of Malignant Pleural Mesothelioma by Radiation Therapy 2:283
Introduction 2:283
Radiotherapy After Extrapleural Pneumonectomy 2:284
Adjuvant Radiotherapy Following Pleurectomy with Decortication 2:287
Radiotherapy for Inoperable Patients 2:291
Prophylactic Irradiation of Chest Wall Incision Sites 2:292
Palliative Care 2:293
References 2:293
Treatment of Malignant Pleural Mesothelioma by Drug Therapy 2:299
Conclusion 2:307
References 2:307
Prognosis and Surveillance of Malignant Pleural Mesothelioma 2:311
References 2:318
Index 2:325
Volume 3\r 3:C
Contents 3:vii
Foreword 3:v
List of Contributors 3:xi
Part 1. Esophageal Neoplasms 3:1
A. Squamous Cell Carcinoma of the Esophagus 3:3
Biological Basis of Esophageal Squamous Cell Carcinoma 3:3
Genetic Alterations 3:3
Epigenetic Changes 3:4
References 3:5
Epidemiology of Esophageal Squamous Cell Carcinoma 3:7
Occupational Factors and ESCC 3:8
Tobacco Use and Alcohol Consumption As Main Risk Factors for ESCC 3:8
Risk of ESCC and Diet 3:9
Animal Contact, Oral Hygiene, Socioeconomic Status and Other Factors 3:9
Infection Factors 3:10
Genetic Susceptibility to ESCC 3:10
References 3:12
Clinical Presentation and Diagnosis of Esophageal Squamous Cell Carcinoma 3:17
Introduction 3:17
Clinical Presentation 3:17
Diagnosis 3:19
References 3:21
Imaging of Esophageal Squamous Cell Carcinoma 3:23
Pre-Treatment Tumor Staging 3:23
M Stage 3:23
N Stage 3:24
T Stage 3:25
References 3:26
Screening for Esophageal Squamous Cell Carcinoma 3:27
Identification of High-Risk Population 3:27
Endoscopic Screening 3:27
Chromoendoscopy 3:28
Image-Enhanced Endoscopy 3:28
Non-Endoscopic Screening 3:30
References 3:30
Pathology and Staging of Esophageal Squamous Cell Carcinoma 3:33
References 3:36
Treatment of Esophageal Squamous Cell Carcinoma by Surgery 3:39
Introduction 3:39
Surgical Approach 3:39
Lymphadenectomy 3:40
Reconstruction 3:41
Summary 3:41
References 3:41
Treatment of Esophageal Squamous Cell Carcinoma by Radiation Therapy 3:43
Introduction 3:43
Definitive Chemoradiotherapy 3:43
Pre-Operative Chemoradiotherapy 3:44
Pre-Operative Chemoradiotherapy versus Surgery Alone 3:44
Pre-Operative Chemoradiotherapy versus Definitive Chemoradiotherapy 3:45
Radiation Therapy Technique 3:46
References 3:48
Treatment of Esophageal Squamous Cell Carcinoma by Drug Therapy 3:51
Advanced Disease 3:51
Neoadjuvant Treatment 3:52
Adjuvant Treatment 3:53
References 3:53
Prognosis and Surveillance of Esophageal Squamous Cell Carcinoma 3:57
Prognosis 3:57
Response to Chemoradiation 3:58
Patterns of Failure 3:59
Surveillance 3:59
References 3:60
B. Adenocarcinoma of the Esophagus 3:63
Biological Basis of Esophageal Adenocarcinoma 3:63
Disease Progression 3:63
Targeted Therapy 3:65
References 3:67
Epidemiology of Esophageal Adenocarcinoma 3:69
Introduction 3:69
Descriptive Epidemiology 3:69
Risk Factors 3:70
Barrett’s Esophagus and Gastroesophageal Reflux Disease 3:70
Obesity and Body Size 3:70
Tobacco Smoking 3:71
Helicobacter pylori Infection 3:71
Non-Steroidal Anti-Inflammatory Drugs 3:72
Diet 3:72
Conclusions 3:72
References 3:72
Clinical Presentation and Diagnosis of Esophageal Adenocarcinoma 3:79
References 3:80
Imaging of Esophageal Adenocarcinoma 3:81
Pretreatment Imaging 3:81
Primary Tumor 3:81
Lymph node metastases 3:85
Distant Metastases 3:87
Posttreatment Imaging and Surveillance 3:88
Conclusions 3:89
References 3:89
Screening for Esophageal Adenocarcinoma 3:91
Introduction 3:91
Rationale for Screening 3:91
Challenges to Screening 3:92
Advances in Screening Techiniques 3:93
Minimally Invasive Screening Techniques 3:93
Imaging-Based Techniques 3:94
Identifying the Target Population for Screening 3:95
Stratification of Barrett’s Esophagus Cancer Risk 3:96
Demographic and Endoscopic Risk Factors 3:96
Histologic and Molecular Risk Factors 3:97
Summary 3:98
References 3:98
Pathology and Staging of Esophageal Adenocarcinoma 3:107
Pathology 3:107
Barrett’s Esophagus 3:107
Dysplasia 3:109
Adenocarcinoma 3:109
Screening 3:112
Staging 3:112
References 3:115
Treatment of Esophageal Adenocarcinoma by Endoscopic Therapies 3:117
Introduction to Endoscopic Eradication Therapy 3:117
Endoscopic Mucosal Resection (EMR) 3:118
Radiofrequency Ablation (RFA) 3:120
Cryotherapy and Photodynamic Therapy (PDT) 3:121
Summary 3:122
References 3:123
Treatment of Esophageal Adenocarcinoma by Surgery 3:125
Introduction 3:125
When is Surgery Necessary? 3:125
Type of Surgery 3:126
Pre-Operative Evaluation 3:127
Tumor Location 3:128
Brief Operative Details 3:129
Complications 3:131
Conclusion 3:131
References 3:131
Treatment of Esophageal Adenocarcinoma by Radiation Therapy 3:135
Radiation Therapy as a Single Modality 3:135
Dual-Modality Therapy: Adjuvant or Pre-Operative Radiation Therapy with Surgery 3:136
Dual-Modality Therapy: Chemoradiation 3:136
Tri-Modality Therapy: Surgery with Chemoradiation 3:138
Radiation Therapy Delivery Techniques 3:139
References 3:143
Treatment of Esophageal Adenocarcinoma by Drug Therapy 3:149
References 3:153
Prognosis and Surveillance of Esophageal Adenocarcinoma 3:157
Prognosis 3:157
Pathologic Response 3:157
Imaging Response 3:159
Surveillance 3:160
References 3:162
Stage-Specific Treatment of Esophageal Adenocarcinoma 3:165
Early-Stage Disease and Endoscopic Therapy 3:165
Early-Stage Disease and Primary Surgery 3:166
Locally Advanced Disease (Neoadjuvant Treatment) 3:166
Surgery 3:168
Adjuvant Treatment 3:169
Advanced Disease 3:169
Alternatives to Surgery 3:170
References 3:171
Part 2. Mediastinal Neoplasms 3:175
A. Thymic Neoplasms 3:177
Epidemiology of Thymic Neoplasms 3:177
References 3:178
Clinical Presentation and Diagnosis of Thymic Neoplasms 3:181
Clinical Presentation 3:181
Diagnosis 3:182
References 3:185
Imaging of Thymic Neoplasms 3:187
References 3:191
Pathology and Staging of Thymic Neoplasms 3:193
Introduction 3:193
Benign Conditions 3:193
Thymic Hyperplasia 3:193
Thymic Hyperplasia with Lymphoepithelial Sialadenitis-Like Features 3:194
Thymic Cysts 3:194
Thymolipoma/Thymofibrolipoma 3:194
Malignant Tumors 3:195
Thymoma 3:195
Thymic Carcinoma 3:197
Neuroendocrine Carcinomas of the Thymus 3:199
References 3:201
Treatment of Thymic Neoplasms by Surgery 3:205
Introduction 3:205
Principles of Surgery for Thymic Neoplasms 3:206
General Principles 3:206
Surgical Approach 3:206
Extent of Resection 3:212
Lymph Node Dissection 3:214
Cytoreductive Surgery 3:215
Summary 3:216
References 3:217
Treatment of Thymic Neoplasms by Radiation Therapy 3:221
Indications 3:221
Consensus Guidelines for PORT in Thymoma 3:223
Radiation Therapy Technique and Toxicity 3:223
Alternative Radiation Therapy Modalities — Hemithoracic Radiation Therapy 3:225
References 3:226
Treatment of Thymic Neoplasms by Drug Therapy 3:229
Introduction 3:229
Chemotherapy as Part of Curative Intent 3:229
Chemotherapy with Surgery 3:229
Chemotherapy with Radiation 3:230
Palliative Chemotherapy 3:232
Anthracyclines 3:232
Non-Anthracyclines 3:232
Amrubicin 3:233
Targeted Therapies 3:233
Octreotide 3:234
mTOR (Mammalian Target of Rapamycin) 3:234
c-KIT and Multi-Targeted TKIs 3:235
Epigenetic Modification 3:235
Insulin-Like Growth Factor 1 Receptor (IGF-1R) 3:236
Immune Checkpoint Inhibitors 3:236
EGFR Inhibitors, Src Inhibitors, and Cyclin-Dependent Kinase (CDK) Inhibitors 3:237
Conclusions 3:237
References 3:238
Prognosis and Surveillance of Thymic Neoplasms 3:243
References 3:244
B. Germ Cell Neoplasms 3:247
Epidemiology of Mediastinal Germ Cell Neoplasms 3:247
Introduction 3:247
Epidemiology of Mediastinal Germ Cell Tumors 3:247
References 3:248
Clinical Presentation and Diagnosis of Mediastinal Germ Cell Neoplasms\r 3:249
Clinical Presentation and Diagnosis 3:249
Rare Presentations of Primary Mediastinal Non-Seminomatous Germ Cell Tumors 3:250
Conclusion 3:251
References 3:251
Treatment of Mediastinal Germ Cell Tumors by Surgery 3:253
Mature Teratoma 3:253
Primary Mediastinal Seminoma 3:253
Primary Mediastinal Non-Seminoma 3:253
References 3:258
Treatment of Mediastinal Germ Cell Neoplasms by Radiation Therapy\r 3:259
Radiotherapy Alone for Mediastinal Seminoma: A Historical Perspective 3:259
The Emergence of Chemotherapy: Rationale and Evidence 3:261
Summary and Modern Role for Radiotherapy 3:261
Selected References 3:262
References 3:262
Prognosis and Surveillance of Mediastinal Germ Cell Tumors 3:265
Conclusions 3:267
References 3:268
Neurogenic Tumors 3:269
Radiological Indications in Neurogenic Tumors 3:269
Differential Diagnosis in Neurogenic Tumors 3:270
Neurogenic Tumors that Originate from Neural Sheath 3:270
Neurolemmoma 3:271
Melanotic schwannoma 3:271
Neurofibroma 3:273
Granular cell tumor 3:273
Neurosarcoma 3:273
Neurogenic Tumors that Originate from Sympathetic Ganglia 3:274
Ganglioneuroma 3:274
Neuroblastoma 3:276
Ganglioneuroblastoma 3:276
Neurogenic Tumors that Originate from Paraganglial Cells 3:277
Chemodectoma 3:277
Phaeochromocytoma 3:277
Tumors that Originate from Neuroectoderm 3:277
Melanotic progonoma 3:278
Askin tumor 3:278
Surgery of Neurogenic Tumors 3:278
References 3:280
Part 3. Chest Wall and Diaphragm Neoplasms 3:283
A. Bony and Soft Tissue Sarcomas 3:285
Treatment of Bony and Soft Tissue Sarcomas by Surgery 3:285
References 3:291
Treatment of Bony and Soft Tissue Sarcomas by Radiation Therapy 3:293
Tumor Location as a Risk Factor 3:294
The Impact of Surgical Margin and Tumor Size 3:294
Histological Grade as a Risk Factor 3:295
Unresectable Tumors: Is There a Role for Definitive Radiation Therapy? 3:295
The Sequencing of Radiation Delivery 3:296
Radiation Treatment Planning 3:296
Summary 3:297
References 3:298
Treatment of Bony and Soft Tissue Sarcomas by Drug Therapy 3:303
Overview 3:303
Etiology and Genetics 3:303
Clinical Presentation and Diagnosis 3:304
Imaging 3:305
Staging 3:305
Biopsy 3:306
Pathology 3:306
Histologic Classification 3:307
Prognosis 3:307
Treatment of Localized Disease 3:308
Surgery 3:308
Residual Disease 3:308
Radiation Therapy 3:309
Chemotherapy 3:309
Neoadjuvant 3:310
Adjuvant Chemotherapy 3:311
Metastatic Disease 3:311
Surgery for Metastatic Disease 3:312
Surveillance 3:313
References 3:313
Prognosis and Surveillance of Bony and Soft Tissue Sarcomas 3:317
References 3:319
Diaphragm Neoplasms 3:321
References 3:324
B. Cardiac Neoplasms 3:325
Primary Cardiac Tumors 3:325
Biological Basis of the Disease 3:325
Epidemiology 3:325
Clinical Presentation and Diagnosis 3:326
Imaging 3:327
Staging 3:329
Surgical Treatment 3:329
Chemotherapy 3:330
Prognosis 3:330
References 3:330
C. Metastatic Neoplasms of the Chest 3:333
Treatment of Thoracic Metastases by Surgery 3:333
Introduction 3:333
Common Criteria for Pulmonary Metastasectomy 3:333
International Registry of Lung Metastasis 3:334
Oliogoprogression 3:335
Surgical Techniques 3:335
Open versus Minimally Invasive Surgery 3:335
Unilateral versus Bilateral Exploration 3:336
Mediastinal Lymph Node Evaluation 3:336
Conclusion 3:337
References 3:337
Treatment of Thoracic Metastases by Radiation Therapy 3:339
References 3:342
Index 3:345