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Although distant metastases are the most dreaded situation in the
evolution of cancer of every organ, the medical literature has
surprisingly given little attention to the anatomical relationship
between the primary tumor and metastasic sites. Only risk factors,
treatment possibilities, and survival results are extensively
examined.
Stimulated by the occurrence in his practice of some puzzling and
unexpected metastases, the author reviewed more than 12,000
references. He looked for anatomical relationships highlighting the
relation between the location of the primary tumors and the
particular patterns of metastasis observed. It would seem that the
pathways and flows' are apparently a more decisive factor in the
implantation of the metastases than the seed and soil' properties
of the cancer cells and the metastatic site.
Aided by his colleague Dr. T. Geukens, M.D., the author includes
original anatomical drawings, illustrating the sometimes unexpected
pathways the cancer cells follow in order to reach the organs where
they will become lodged and give rise to metastatic tumors. The
subject has apparently not been exhausted in the literature and
several ideas are given for further research.
Although distant metastases are the most dreaded situation in the
evolution of cancer of every organ, the medical literature has
surprisingly given little attention to the anatomical relationship
between the primary tumor and metastasic sites. Only risk factors,
treatment possibilities, and survival results are extensively
examined.
Stimulated by the occurrence in his practice of some puzzling and
unexpected metastases, the author reviewed more than 12,000
references. He looked for anatomical relationships highlighting the
relation between the location of the primary tumors and the
particular patterns of metastasis observed. It would seem that the
pathways and flows' are apparently a more decisive factor in the
implantation of the metastases than the seed and soil' properties
of the cancer cells and the metastatic site.
Aided by his colleague Dr. T. Geukens, M.D., the author includes
original anatomical drawings, illustrating the sometimes unexpected
pathways the cancer cells follow in order to reach the organs where
they will become lodged and give rise to metastatic tumors. The
subject has apparently not been exhausted in the literature and
several ideas are given for further research.
There are many excellent textbooks on General Oncology. Due to the
enormous volume of the scientific knowledge, classic textbooks,
however, have to master and squeeze all this into an acceptable
number of pages. The result is that less frequently encountered
tumorous conditions are not fully addressed compared with chapters
on breast, bronchus and colonic cancers. The author has selected 18
cancers which are usually neglected in classic textbooks due to
space and volume problems. Reviewing the nevertheless extensive
literature on these tumours, one will observe the remarkable
diversity in their presentation, adding to the difficulties of
their diagnosis. Sometimes patients present differently to
specialists, further dispersing the knowledge and the experience on
these rare conditions. Dedicated teams and even institutes have
been set up to study some of these cancers, enlarging the knowledge
and experience but also dramatically enhancing the treatment
results and survival rates. This book is a guide for the
oncology-minded specialist from cardiologist to gastro-
enterologist and from ophthalmologist to thoracic surgeon. It
provides updated knowledge on the different cancers discussed,
generally dispersed in the still more diversifying medical
literature, wherein it is progressively more difficult to obtain an
overview, even in selected and frequently limited reviews.
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