Tuesday 3/4/08
Tumor Conference
Today is our tumor conference. Tumor conferences are meetings held at a hospital that are attended by medical oncologists, radiation oncologists, surgeons, pathologists, & radiologists, where we sit down & discuss interesting cases. Tumor conferences are a great place for people involved in the care of cancer to stay abreast our Trans literature, it also represents a unique way in which patients can obtain second opinions regarding their case. There are other such conferences held by other hospitals & universities. Some hospitals have disease specific conferences such as breast conferences, or head & neck conferences. I think this is something that patients should be made more aware of and ask their oncologist if their case can be presented in these conferences. There have been numerous times in my years of practice that I’ve presented a case and have found additional information about the case that has ultimately changed how I treated the patient. This included in discovering a second type of cancer involved that was initially overlooked by the pathologist, I’ve found situations in which a patient’s stage has changed because of what was presented in conference and I have certainly had my overall treatment plan influenced by whatever oncologists & radiation oncologists have brought to the table in these conferences.
Today I am presenting a case of a patient with small-cell lung cancer, who presented with superior vena cava syndrome which is a situation in which the tumor in the middle of the patient’s chest blocks off the venous drainage from the upper part of the body & the upper part of the body swells. These are always challenging cases because of the urgency in which we need to begin treatment & the usually aggressive nature of the cancer that is being diagnosed.
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