This book reflects a broad spectrum of current opinions and progress in the surgical management of liver, pancreatic and biliary disease. The enormous advances in diagnostic imaging techniques and in interven tional, radiological and biliary approaches, the pathophysiological problems and their management manifest often as complications in the post-operative period, new techniques and the results of surgical approaches are all thorough ly documented. Historical background is commented upon by Dr. Kenneth Warren of Boston in the first chapter. Subsequent chapters deal with a variety of subjects but always emphasizing differences of opinion and approach and maintaining the discussive environment so typical to the present-day approach to the topic. Professor Bengmark's efforts to introduce a forum for wide discussion for diseases of the liver, pancreas and biliary tract and many recent advances in research and technology to aspects of the clinical management and outcome of patients is well rewarded in this balanced publication. Advances in this field of surgery have been and continue to be so rapid that such documentation is not only necessary but very welcome."

This book is based on the proceedings of a successful Boerhaave International Symposium on colorectal cancer held at the University of Leiden, 6-9 June, 1979. I would like to offer grateful thanks to the eminent clinicians and scientists who contributed both to the Symposium and to this book. Colorectal cancer is a very common form of malignancy, particularly in the Western world, and there have been a number of recent developments in the management of this condition. This book has attempted to collate informa tion on the current methods of investigation and treatment and I believe that it will prove valuable to all those interested in oncology. The contents range widely, covering the entire field from epidemiology through screening methods, diagnostic approaches and therapy of both primary and secondary disease. Perhaps the most outstanding new areas discussed and reflected in the proceedings are the possible range and scope of screening techniques, the new possibilities both in treatment and in endoscopic surgery now available as a result of developments in fibre-optic endoscopy, and new approaches and important parameters in staging of the disease."

This volume contains papers presented at the NATO Advanced Research Workshop on the Structure and Dynamics of Partially Solidified Systems held at Stanford Sierra Lodge, Tahoe, California, May 12-16, 1986. This work shop grew out of a realization that there was a significant amount of interest and activity in this topic in several unrelated disciplines, and that it would be mutually beneficial to bring together those mathemati' cians, scientists and engineers interested in this subject to share their knowledge and ideas with each other. Partially solidified systems occur in a variety of natural and man made environments. Perhaps the most well-known occurrence involves the solidification of metallic alloys. Typically as a molten alloy is cooled, the solid phase advances from the cold boundary into the liquid as a branching forest of dendritic crystals. This creates a region of mixed solid and liquid phases, commonly referred to as a mushy zone, in which the solid forms a rigidly connected framework with the liquid occurring in the intercrystalline gaps. In addition to the casting of metallic alloys, mushy zones can occur in weld pools, the Earth's core and. mantle, magma chambers, temperate glaciers, frozen soils, frozen lakes and sea ice. A second mechanical configuration for the solid phase is as a suspension of small crystals within the liquid; this is referred to as a slurry."

The incidence of endometrial cancer rose sharply in the United States in the early 1970s, paralleling changes in the use of postmenopausal estrogens by American women. A sizeable body of evidence supports the role of both excessive endogenous estrogen and exogenous estrogen in the etiology of endometrial cancer. There is growing evidence that inadequate progesterone has the opposite effect, in that progesterone supplementation of postmeno pausal estrogen therapy reduces the incidence of endometrial cancer. Despite this new awareness of the hormonal role that is played in carcino ma of the endometrium, the disease still plagues the oncologist. The general approach to carcinoma of the endometrium in the United States is that of primary surgical staging. This provides the maximum amount of information to best plan postoperative radiation therapy and/or chemotherapy for these patients. In general, patients who are considered candidates for surgical staging are those with advanced disease or high-risk stage I endometrial carcinoma. High-risk endometrial carcinoma is defined as those patients with moderately differentiated lesions with deep myometrial invasion, poor ly differentiated carcinoma of the endometrium, and the high-risk histolo gies such as papillary carcinoma and clear-cell carcinomas. The surgical staging has extended in most institutions to patients with occult stage II carcinoma of the endometrium, i. e."

Beginning with the scientific basis of tumors, "The Surgery of Childhood Tumors" provides up-to-date information on epidemiology, cytogenetics and molecular biology, before looking at current treatments, integrating surgery, neoadjuvant and adjuvant chemotherapy and radiation therapy. Additionally, a chapter on counseling reflects the book's holistic approach to treating children with cancer.

The chapters are written by world-renowned international authorities on pediatric cancer from major children's cancer groups in the UK, Europe and the US. Contributors discuss geographical variations in treatment for each type of tumor. Excellent full-colour pictures and detailed line drawings illustrate all aspects of managing childhood tumors, including technical details of operation which are often neglected in other texts. This comprehensive book provides a contemporary approach for pediatric, general and urological surgeons dealing with childhood tumors. New chapters in this second edition provide the latest developments and strategies in pediatric surgical oncology.

This volume provides a biological and pharmacological background for regional cancer therapy, strategies and techniques for regional therapies, and specific indications and results for different tumor entities. Clinical trial concepts and detailed treatment protocols are also presented. This book is essential reading for researchers and clinicians engaged in seeking advanced therapeutic options for cancer patients worldwide.

This is the first book that discusses subjects of diagnosis, therapy, therapy assessment, and prognosis of breast cancer in one single volume.
Cancer killed 6.7 million people around the world in 2002 and this figure is expected to rise to 10.1 million in 2020. Approximately, 189,510 new cases of breast cancer were reported in 2007 in the United States, and 40,910 died in the same year.
Focusing on Breast Carcinoma, this first volume in the series Methods of Cancer Diagnosis, Therapy and Prognosis brings together 56 leading scientists from around the world to deliver a comprehensive treatise on all aspects of breast cancer, including diagnosis, treatments and prognosis. Scientists and clinicians have contributed state of the art chapters on their respective areas of expertise providing the reader a whole field view of breast cancer management.
This fully illustrated volume:
* Presents a constructive evaluation of commonly used methods for elucidating primary and secondary cancer initiation, progression, relapse, and metastasis.
* Highlights methods of breast cancer diagnosis and treatment assessment including various imaging modalities such as ultrasound, computed tomography, magnetic resonance imaging, immunohistochemistry and histochemistry.
* Discusses detailed therapeutic protocols, including both their benefits and side-effects.
* Discusses examples of breast cancer treatments includingchemotherapy, radiation, chemoradiation, surgery, hormonal - and immunotherapy
* Details the molecular processes that lead to the development and proliferation of cancer cells
* Includes recent major advances in cancer diagnosis and therapy assessment
Professor Hayat has summarized the problems associated with the complexities of research publications and has been successful in editinga must-read volume for oncologists, cancer researchers, medical teachers and students of cancer biology.

Exciting advances are occurring in the understanding of the molecular pathogenesis of squamous head and neck cancers. Epidemiology, staging and screening, as well as premalignancy, chemoprevention and the molecular biology of head and neck cancer, lay the groundwork for the understanding of the clinical chapters that follow. Controversial treatments will be compared to the standard management of patient care. Therapy chapters are divided into stage or category specific (resectable advanced, unresectable advanced or metastatic) problems, allowing the reader to review the current standards and options for patient types or specific patients easily. Considerations of supportive care, late toxicities and quality of life, often overlooked are reviewed in detail.

This is a comprehensive summary of the current state of the art research and treatment.

Surgery continues to be the most effective treatment of solid tumors in terms of recovery, while its combination with other treatments improves the survival curves especially in the advanced forms of the disease. The aim of my task first of all has been to provide readers with both the current and constantly evolving pathophysiologic knowledge required for building the foundation of a specific education enabling surgeons to meet the fundamental targets in surgical oncology. Secondly, this volume aims to present an update on the real possibilities offered by the cooperation between surgeon and pathologist and by chemotherapy, radiotherapy and gene therapy in the treatment of tumors in the light of the most recent scientific achievements. Lastly, the report presents the experiences and cases drawn mostly from our School regarding some of the major issues in oncologic surgery. This overview does not pretend to elucidate or to summarize all aspects of oncologic surgery, but rather to be the result of a general consideration on cancer surgery, on its rational bases, on its interaction with other treatment modalities, on its desirable and expected developments and on its probable future evolution.

Malignant neoplasms occurring in the biliary tract and pancreas remain a therap- tic challenge. The mechanism of carcinogenesis as well as the growth and spread of these tumors is still poorly understood, making the development of rational tre- ment strategies difficult. In order to improve the clinical results achieved by sur- cal or other medical treatment of such malignant tumors, the establishment of an experimental animal model is critical. For this purpose, attempts were made to induce carcinoma experimentally in the biliary tree and finally an animal model using the hamster was established in 1994 at our laboratory. Because the tumor in this model mimicked the characteristics of human tumors, a series of experimental investigations were conducted to clarify the pathological characteristics of biliary carcinoma, the genetic alterations during biliary carcinogenesis, and the relationship between biliary inflammation and c- cinogenesis. The chemopreventive effects on the occurrence of biliary carcinoma were also successfully examined. In addition, in vitro studies led to the establi- ment of transplantable biliary cancer cell lines and biliary epithelial cell lines by utilizing the hamster model. This monograph represents the collective efforts in hepato-biliary and pancreatic disease research over the past 20 years. I hope that this monograph will be a source of useful knowledge for basic researchers as well as for clinicians involved in the care of patients with hepato-biliary and pancreatic neoplasms. Takashi Kanematsu, M.D., Ph.D.

This is the first book to cover minimal-invasive treatment of osteoporotic, tumorous and traumatic vertebral fractures in the English language. In addition to detailed descriptions of the techniques, including tips and tricks from experts, the book contains a chapter about the medical treatment of osteoporosis, which is indispensable in the interdisciplinary approach to osteoporosis. This acclaimed innovative concept unites several treatment aspects. More conservative treatment methods are also presented in this work.

All chapters reflect new developments and clinical findings in the field of orthopaedics, surgery, traumatology and neurosurgery.

Surgery in Breast Cancer and Melanoma provides an illustrative, instructive, and comprehensive review that depicts the rationale of basic operative principles essential to oncological surgical therapy. The chapters provide pertinent and concise summaries of how to deal with benign and malignant problems in the breast and skin soft tissues. Stages of operative approaches with relevant technical considerations are outlined in an easily understandable manner. Complications are reviewed when appropriate for the organ system and problem. The text is illustrated throughout by line drawings and photographs that depict anatomic or technical principles. A concise, handbook-sized reference work, this book is a valuable resource for all general surgeons and residents in training.

This volume provides a comprehensive account of the use of MRI and CT cross-sectional imaging techniques to identify and characterize developmental anomalies and acquired diseases of the female genital tract. Benign and malignant diseases are considered, and attention is also paid to normal anatomical findings and variants. Emphasis is on the most recent diagnostic and technical advances, and the text is complemented by detailed illustrations.

This totally revised and enlarged new edition offers concise and well-structured chapters each focusing on the clinical, diagnostic, and therapeutic aspects of a condition commonly encountered by the coloproctologist and gastroenterological surgeon, who are faced with an increasing number of precise and specific treatment modalities. The comprehensive, yet easy-to-read, information in this practical guide on both common and rare anorectal and colonic diseases is particularly important for both the practitioner, who needs to know all the possible modalities of conservative and surgical treatment, and the surgeon, who needs to adapt his surgical procedure to the clinical and anatomical findings. Precise guidelines are given and surgical techniques illustrated. Each chapter is completed with up-to-date references and a self-assessment quiz, and a DVD is included.

I chirurghi oncologici nella loro pratica clinica quotidiana spesso sono chiamati ad affrontare situazioni particolari o molto complesse che devono quindi essere in grado di individuare e di saper gestire. L aggiornamento qui offerto sulle piu recenti evoluzioni tecniche in chirurgia oncologica e necessario per raggiungere i migliori risultati possibili in termini di remissione e di qualita della vita del paziente. L introduzione delle nuove tecniche presentate nel volume e fondamentale per superare i limiti imposti dalle procedure standard. Nuove tecnologie chirurgiche in oncologia e un efficace strumento di aggiornamento che copre tutte le opzioni terapeutiche nel trattamento delle neoplasie e sottolinea la centralita del coordinamento interdisciplinare nella cura delle patologie oncologiche. Chirurghi, oncologi, radiologi, chirurghi estetici e personale infermieristico sono chiamati a lavorare in squadra e ad adottare un approccio integrato alla cura del paziente."

Colorectal cancer is the third most commonly diagnosed cancer in the US and the third most recently linked to cancer deaths. The national annual incidence rate of colorectal cancer is approximately 148,000+, striking slightly more females than males. The lifetime risk of colorectal cancer is 5-6%, however patients with a familial risk (with two or more first or second degree relatives) make up 20% of the patients. Persons who carry genetic mutations linked to hereditary colorectal cancer are the most likely to develop the disease.

A critical review our current understanding of camptothecins, their shortcomings, and of the possibilities for improving their clinical performance. The authors discuss new camptothecin analog development, drug delivery issues for optimizing their anticancer activity, and their potential use in a variety of different cancers. Additional chapters describe what is known about the biochemistry, the pharmacology, and the chemistry of the camptothecins, including the mechanism of topoisomerase and how camptothecins poison this enzyme, the use of animal models in defining the anticancer potential of camptothecins, and the question of camptothecin resistance.

The new WHO Classification of Lung and Pleural Tumours updates the previous proposal from 1981 and incorporates many new concepts that have developed since that time. A number of newly described lesions are included as well as current concepts in papillomas, adenomas, neuroendocrine tumours, adenocarcinomas, mesothelial tumours, and carcinomas with pleomorphic, sarcomatoid and sarcomatous features. The result is a comprehensive classification with detailed definitions and explantory notes illustrated by 150 high quality color photomicrographs that will promote uniformity in recording and reporting data nationally and internationally. The WHO panel consisted of 24 members from 14 countries giving a broad international input into this work.

In this issue of Surgical Oncology Clinics, guest editor Dr. Natalie Lui brings her considerable expertise to the topic of Oncology Imaging: Updates and Advancements. Treatment planning and implementation in oncology relies heavily on cancer imaging modalities. In this issue, top experts in the field of oncology imaging discuss the latest imaging techniques and modalities for the most common malignancies, such as lung, breast, and liver cancer, as well as a timely article on 3D CT reconstruction and printing to aid surgical planning. Contains 10 practice-oriented topics including fluoroestradiol imaging of ER+ breast cancer; advances in imaging to aid segmentectomy for lung cancer; 3D computed tomography reconstruction and printing to aid surgical planning; molecular imaging of head and neck cancer; contrast-enhanced intraoperative ultrasound of the liver; and more. Provides in-depth clinical reviews on oncology imaging, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Novalis (R) Shaped Beam Radiosurgery has set new standards by delivering highly precise radiation treatments to tumors anywhere in the body through the use of a proprietary multileaf collimator. By shaping the radiation beam to the exact contours of the tumor or lesion, Novalis permits maximum dose delivery to the entire tumor while protecting healthy tissue; this makes it eminently suitable for the treatment of irregularly shaped tumors. This book provides a complete guide to radiosurgery treatments with Novalis. After a thorough discussion of the clinical and technical basis for Shaped Beam Radiosurgery, current clinical applications are considered in detail, including brain, body, skull base, and spinal tumors as well as arteriovenous malformations. Careful consideration is also given to future developments and applications, including new technologies that promise to offer even more accurate treatments. This state-of-the-art book will appeal to a wide audience of physicians and their multidisciplinary clinical and technical collaborators.

This book is a concise guide to surgical oncology for clinicians. Each section is dedicated to operative procedures for a specific type of cancer, from breast, head and neck and urological, to gastrointestinal, bone and soft tissue, and more. Every chapter provides guidance on preoperative evaluation, appropriate types of anaesthesia, patient positioning, a step by step description of the procedure, and potential complications. Minimally invasive procedures are covered in detail. Key points including ‘dos and don’ts’ conclude each topic and the detailed text is enhanced by operative photographs, diagrams and tables to assist learning. Key Points Concise guide to operative surgical oncology Covers step by step procedures for many types of cancer Includes detailed discussion on minimally invasive procedures Each chapter summarised by key points including ‘dos and don’ts’

In this issue of Surgical Oncology Clinics, guest editors Drs. Chandrajit P. Raut and Alessandro Gronchi bring their considerable expertise to the topic of Sarcoma. Top experts in the field provide articles on management of common types of sarcoma, as well as drug trials, WHO updates, and clinical trials. Contains 15 relevant, practice-oriented topics including relevant trials update in sarcomas and GIST: what surgeons should know; management of retroperitoneal/mesenteric liposarcoma; management of solitary fibrous tumors; management of skin sarcomas (AS, LMS, DFSP, AFX); management of leiomyosarcoma; and more. Provides in-depth clinical reviews on sarcoma, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Surgical Oncology Clinics, guest editor Dr. Traci L. Hedrick brings her considerable expertise to the topic of Colorectal Cancer. Excluding skin cancers, colorectal cancer remains the third most common cancer diagnosed in both men and women in the United States. In this issue, top experts in the field provide current discussions on surgery of rectal cancer, colon cancer, targeted therapies, technological advances, genetics of colorectal cancer, and health disparities. Contains 12 relevant, practice-oriented topics including preoperative staging and evaluation of colorectal cancer; technological advances in the surgical treatment of colorectal cancer; surgical principles of rectal cancer; targeted therapy for colorectal cancer; surgical principles of colon cancer; molecular genetics of colorectal cancer/hereditary colorectal cancer syndromes; and more. Provides in-depth clinical reviews on colorectal cancer, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Despite the rising popularity of the minimally invasive laparoscopic option, open nephron-sparing surgery is still seen by many experts as the 'gold standard' for open surgery for kidney tumors and should remain the first choice for many patients. This challenges the idea that less-invasive therapies are always more desirable than open surgery. While laparoscopic nephron-sparing surgery may be a more attractive option for treating small, easily accessible kidney tumors, for large tumors this is not always the case. Nephron-sparing surgery is a outstanding text that analyses all forms of surgery, open or laparoscopic, as well as providing a backdrop on renal cell carcinoma in general, and the complications and outcomes following surgery that both surgeon and patient will face. Featuring 100 colour photos, the text includes chapters on: Imaging renal masses: current status Open nephron-sparing surgery for renal cell carcinoma Minimally invasive approaches for renal cell carcinoma: an overview Laparoscopic partial nephrectomy Controversies in nephron-sparing surgery Renal cell carcinoma: long-term outcome following nephron-sparing surgery Dr Sasidharan and Professor Soloway have created a superb text covering all aspects of nephron-sparing surgery that should provide excellent guidance for all those who are just beginning to perform nephron-sparing surgery or act as an aide-memoire for those familiar with nephron-sparing surgery.