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    On Cancer Patients:: From Medical Mis-Diagnosed To

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    ibnusina
    This document discusses cancer diagnosis and treatment. It notes that cancer is a leading cause of death worldwide, with the most common causes being lung, liver, colorectal, stomach, and breast cancers. Many cancer patients are diagnosed at late stages, contributing to high mortality rates. Late diagnosis is often due to limited patient knowledge, cultural beliefs, lack of facilities, and limited professional skills. The document outlines risk factors for cancer and how malignancies can be identified through patient history, physical exam, and diagnostic tools. It also lists some major fields in oncologic surgery.

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    On Cancer Patients:: From Medical Mis-Diagnosed To

    Uploaded by

    ibnusina
    28 views17 pages
    This document discusses cancer diagnosis and treatment. It notes that cancer is a leading cause of death worldwide, with the most common causes being lung, liver, colorectal, stomach, and breast cancers. Many cancer patients are diagnosed at late stages, contributing to high mortality rates. Late diagnosis is often due to limited patient knowledge, cultural beliefs, lack of facilities, and limited professional skills. The document outlines risk factors for cancer and how malignancies can be identified through patient history, physical exam, and diagnostic tools. It also lists some major fields in oncologic surgery.

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    This document discusses cancer diagnosis and treatment. It notes that cancer is a leading cause of death worldwide, with the most common causes being lung, liver, colorectal, stomach, and breast cancers. Many cancer patients are diagnosed at late stages, contributing to high mortality rates. Late diagnosis is often due to limited patient knowledge, cultural beliefs, lack of facilities, and limited professional skills. The document outlines risk factors for cancer and how malignancies can be identified through patient history, physical exam, and diagnostic tools. It also lists some major fields in oncologic surgery.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views17 pages

    On Cancer Patients:: From Medical Mis-Diagnosed To

    Uploaded by

    ibnusina
    This document discusses cancer diagnosis and treatment. It notes that cancer is a leading cause of death worldwide, with the most common causes being lung, liver, colorectal, stomach, and breast cancers. Many cancer patients are diagnosed at late stages, contributing to high mortality rates. Late diagnosis is often due to limited patient knowledge, cultural beliefs, lack of facilities, and limited professional skills. The document outlines risk factors for cancer and how malignancies can be identified through patient history, physical exam, and diagnostic tools. It also lists some major fields in oncologic surgery.

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    of 17

    On Cancer patients:

    From medical mis-diagnosed


    to
    DISASTER

    dr. Noer Faisal Darmi, Sp.B(K)Onk


    Who are we?

    General practitioner
    surgeons
    Who are we?

    people
    The problem WHO 2015

    Cancer is a leading cause of death worldwide, accounting for 8.8


    million deaths in 2015. The most common causes of cancer death are
    cancers of:
    Lung (1.69 million deaths)
    Liver (788 000 deaths)
    Colorectal (774 000 deaths)
    Stomach (754 000 deaths)
    Breast (571 000 deaths)
    65 % of cancer patients get a service on stage
    3 dan 4.
    This rate is persistent during multi decades.

    (RS Dharmais 2017)


    Mostly delayed treatment are due to multiple
    limited:

    Limited of knowledge of patients


    Obstacle in culture and believe
    Lack of facility
    Limited of professional skill
    Cell transformation:
    Normal cell pre cancerous cancer
    Interaction a person's genetic factors and
    external agents, including:

    What causes cancer?


    physical carcinogens, such as ultraviolet and
    ionizing radiation;
    chemical carcinogens ; asbestos, tobacco
    smoke, aflatoxin (a food contaminant), and
    arsenic (a drinking water contaminant);
    biological carcinogens; infections viruses,
    bacteria, or parasites
    Risk factors for cancers
    Tobacco use, alcohol use, unhealthy diet, and
    physical inactivity
    chronic infections; Helicobacter pylori,
    Human papillomavirus (HPV), Hepatitis B
    virus, Hepatitis C virus, and Epstein-Barr
    virus3.
    Hepatitis B and C virus and s HPV increase
    liver and cervical cancer, respectively.
    Modify and avoid risk factors
    tobacco use including cigarettes and
    smokeless tobacco
    being overweight or obese
    unhealthy diet with low fruit and vegetable
    intake
    lack of physical activity
    alcohol use
    sexually transmitted HPV-infection
    infection by hepatitis or other carcinogenic
    infections
    ionizing and ultraviolet radiation
    urban air pollution
    indoor smoke from household use of solid
    fuels.
    How to indentified
    malignancy
    Group of patients
    History of disease
    Physical examination
    Diagnostic tool
    Group of patients; age, sex, area of living
    (address)
    History of disease:
    Current disease history: based on TNM
    tumour doubling time
    http://radclass.mudr.org/content/doubling-
    time-calculation-growth-rate-lesion-or-mass
    Familiy history
    Major field in oncologic surgery
    Breast
    Thyroid
    Soft tissue
    Skin
    Intra oral
    Lymphatic
    Breast
    please pay attention to patient age and
    growth time of tumor
    Thyroid
    stressing point is predictive score: AMES etc
    Soft tissue tumor: TDT
    Intra oral tumor : TDT
    Lymphatic: age and distribution of mass

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