02: Treatment

Three aims of cancer treatment

• Local: control primary tumor

• Systemic: prevent or delay mets

• Palliative care

Modalities used to treat primary tumors that are solid masses

• Surgery

• Radiation

• ± Additional therapies if surgery is dirty

Modalities used to treat primary tumors that result in systemic disease

• Chemotherapeutics

• Other targeted therapies

Modalities used to prevent or delay metastasis

• Chemotherapeutics

• Immunotherapy

• Targeted therapies

Goals of palliation

Target impacts of cancer and target impacts of therapy

Direct impacts of cancer that we try to target with palliation

• Pain

• Paraneoplastic syndromes

• Secondary infections

Impacts of cancer therapy that we try to target with palliation

• Postop pain

• GI signs

• Inflammation

Easy and ideal type of sample to take in-clinic

FNA

Reasons you might not sample a cancer

Time, space AND