Diagnosis and Treatment of Lung Cancer: An Evidence-Based Guide for the Practicing Clinician

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9780721691923: Diagnosis and Treatment of Lung Cancer: An Evidence-Based Guide for the Practicing Clinician

Access comprehensive, multidisciplinary guidance on the diagnosis and treatment of lung cancer! This new resource addresses the full range of clinical issues in diagnosis, staging, and treatment, as well as the latest scientific data and evidence-based guidelines. A user-friendly organization provides quick reference to data summaries, as well as more comprehensive and detailed information for readers who wish to explore topics in depth.

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About the Author:

Frank C. Detterbeck, MD, Division of Cardiothoracic Surgery, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, Julian Rosenman, MD, PhD, Department of Radiation Oncology, School of Medicine, The University of North Carolina at Chapel Hill, NC, Mark Socinski, MD, Division of Hematology and Oncology School of Medicine, The University of North Carolina at Chapel Hill, NC; M. Patricia Rivera, MD, Division of Pulmonary and Critical Care, Department of Medicine, The University of North Carolina at Chapel Hill, NC

From The New England Journal of Medicine:

Why do we need another book on lung cancer when there are at least four already available? The emphasis on evidence-based medicine is what gives this book a unique approach. The editors have attempted to "present a concise overview of the data regarding lung cancer in a way that can be applied to clinical practice." They do this by including, within each chapter, simple declarative statements on the topic at hand and the amount, quality, and consistency of the data supporting the statements. For example, with respect to the statement "The risk of lung cancer increases with tobacco exposure in a dose- and time-dependent manner (approximate average adjusted relative risk of 20)," the amount, quality, and consistency of evidence are categorized as "high." Chapter 1, "Objectives and Methods," summarizes the approach, and for maximal benefit this chapter should be read first.

Almost all the contributing authors are from the multidisciplinary thoracic oncology team at the University of North Carolina, Chapel Hill, and have worked together closely for some time. This is reflected in the even flow of their approach and writing. They have worked hard to avoid "turf battles and single discipline viewpoints" and have largely succeeded.

The book is organized logically, with chapters on general aspects of lung cancer; early, locally advanced, and advanced non-small-cell lung cancer; limited and extensive stages of small-cell lung cancer; and other types of lung cancer. There are also chapters on extrathoracic and intrathoracic staging. Four chapters deal with pulmonary assessment, surgical treatment, radiotherapy, and chemotherapy. Supportive therapy is covered in the chemotherapy chapter, and neoadjuvant therapy is called induction therapy, which may confuse the unwary reader.

What I missed was photographs. Although the absence of photographs keeps the price of the book down, there is nothing like a well-chosen image to make a point. There is very little discussion of the pathological features of lung cancer and no discussion of the spectrum of carcinoid, atypical carcinoid, and small-cell lung cancer or of the mixed small-cell, non-small-cell histologic picture -- both clinical puzzles. Likewise, there is no discussion of the molecular biology of lung cancer, which will probably frame our treatment alternatives in the future. Mesothelioma is not discussed.

The strength of the book is an approach that permits easy understanding of the many confusing areas of lung cancer. Nonexperts can expect to benefit from reading individual chapters. The book will also help pulmonologists, thoracic surgeons, radiation oncologists, and medical oncologists. The book is well referenced and is of manageable size. I will use it, and my fellows would do well to purchase it for their working libraries.

Michael C. Perry, M.D.

Copyright © 2001 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS. (From the New England Journal of Medicine, May 31, 2001)

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Detterbeck MD, Frank C., Rivera MD, M. P
Editorial: Saunders (2001)
ISBN 10: 0721691927 ISBN 13: 9780721691923
Nuevos Tapa dura Cantidad: 2
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Murray Media
(North Miami Beach, FL, Estados Unidos de America)
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Descripción Saunders, 2001. Hardcover. Estado de conservación: New. Never used!. Nº de ref. de la librería P110721691927

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