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. 2023 Oct 23;8(6):101631. doi: 10.1016/j.esmoop.2023.101631
Objectives To describe:
The indications and contraindications of oncologic surgery by interacting and collaborating with surgeons
The role of oncologic surgery in the staging, cure, and palliation of patients with malignant diseases
Key Concepts Recognise the availability of different diagnostic procedures in various cancer types including indications and different types of diagnostic biopsy
Recognise the importance of the multidisciplinary approach for treatment of patients with solid tumours to achieve a better outcome
Recognise the existence of different prognostic factors (including patient, tumour, and treatment characteristics) in oncologic entities
Determine how to assess a patient for suitability for surgery, including appropriate tests and their interpretation
Recognise the importance of value-based health care delivery regarding new surgical techniques and technical devices
Recognise the indications for organ preservation, reconstructive surgery, extent of definitive surgery, principles of radical surgical dissection (including regional lymph nodes) and sequencing of surgery with other treatment modalities
Recognise the risks and benefits of surgery as a definitive treatment and as an adjunct to radiotherapy and/or systemic therapy, and how the risks and benefits differ based on whether neoadjuvant or adjuvant therapy is used
Explain postoperative complications and the expected length of recovery, and its impact on planned postoperative therapy
Demonstrate an understanding of the role of surgery in the metastatic and palliative setting
Demonstrate an understanding of the importance of prospective trials and differences in planning of surgical trials from planning of medical oncology and radiotherapy trials
Demonstrate an understanding of the importance of prospective data and tissue collection for translational research
Skills Demonstrate the ability to:
Present the patient cases during multidisciplinary team meetings and to promote this systematic multidisciplinary strategy
Critically discuss the treatment options/recommendations
Discuss with colleagues and patients on general management strategies in the neoadjuvant and the adjuvant setting, as well as at advanced stage