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1、SurgicalOncologySurgicalOncologyTheHistoryofofSurgicalOncology1600B.C.inEgypeSurgicaltreatment1809McDowell10.2Kgovariantumor30YAdvancesinPathologictechnique1890HalstedRadicalmastectomycompleteenblocresection:primarytumor,regionalnodes,adjacenttissueSurgicalOncologyTheHistoryofofSurgicalOncology1
2、890RadicalmastectomyHalsted1908AbdominoperinealresectionMiles1927ResectionofpulmonarymetastasesDivis1933PneumonectomyEvartsGraham1935PancreaticoduodenectomyWhippleSurgicalOncology1.TheOldestTherapy:SurgicalresectionRadiationtherapy,Chemotherapy2.80%SolidNeoplasms--SurgicalresectionLung,Breast,Li
3、ver,Gastric3.EarlyCarcinoma,5-yearSurvivalratecanbemorethan90%StageⅠ:Breast,Cervix,Gastric,SurgicalOncology4.NoCarcinogenesis5.ImportantforPrevention,Diagnosis,StagingandReconstructionGastricCancerBREASTCANCERSpreadtolymphnodesSupraclavicularSubclavicularDistal(upper)axillaryCentral(middle)axill
4、aryProximal(lower)axillaryMediastinalInternalmammaryInterpectoral(Rotter’s)PrinciplesofSurgicalOncology1、Diagnosis2、Selectionofappropriatetherapy3、Suitableoperation4、AvoidmedicalspreadPrinciplesofSurgicalOncology1、Diagnosis(1).Pathologicaldiagnosis(2).Clinicaldiagnosis(3).StagingPrinciplesofSurg
5、icalOncology(1).PathologicalDiagnosisBenignant,Malignant,DifferentiationBreastCancer－RadicalmastectomyLaryngealcancer－LaryngectomyRectalCancer－Miles’operationOsteosarcoma－AmputationPrinciplesofSurgicalOncology(2).ClinicalDiagnosisBrain,Liver,Lung－MedicalImagingTesticleTumor－Clinicalmanifestation
6、(3).ClinicalStagingTNMclassificationⅠ、Ⅱ、Ⅲ、ⅣT:SizeandExtentofPrimaryTumorN:LymphNodeMetastasisM:EvidenceofDistantMetastasisPrinciplesofSurgicalOncology2.SelectionofappropriatetherapyTumorisnotalocaldiseaseSimpleresection≠radicaltreatmentSoleoperation→→MultimodalityPrinciplesofSurgicalOncology(1).
7、EarlyCancer---SurgicalresectionEarlybreastcancer,LungGastricCancer,CRCSmalllivercancerResectionorAblation???PrinciplesofSurgicalOncology(2).AdjuvantTherapyforPossibilitycancercellresidualA.cancercellresidualafteroperationB.L
