Ablative therapies remain a useful adjunct in the multidisciplinary treatment of patients with colorectal liver metastases not amenable to hepatic resection. This review summarizes the rationale, underlying mechanisms, techniques, complications,…
Thermal ablation, which induces irreversible cellular injury from focal high-temperature tissue heating that is generated from a focal energy source, has become an accepted treatment option for focal primary and…
Through 5,000 years of practice, physicians, surgeons, clergy, or lay people have used thermal therapy to treat mass lesions now known as cancer. The methods have changed dramatically over this…
In the USA, 80% of patients with breast cancer are treated by community breast surgeons. NCDB data indicate that there are only small differences in outcomes between lower volume cancer…
The National Cancer Data Base (NCDB) provides feedback on adherence to National Quality Forum (NQF)–endorsed measures to promote best outcomes in colorectal cancer. We examined the care delivered to patients…
Immune-based therapies for cancer are now commonplace. Cytokine therapy, including interferon and interleukin-2, is safe in the community setting. The US Food and Drug Administration has recently approved sipuleucel-T for…
The breast center concept developed in response to a fragmented inefficient system to evaluate and manage patients with diseases of the breast. The National Accreditation Program for Breast Centers (NAPBC)…
We report our initial experience with minimally-invasive esophagectomy in 32 patients at Carolinas Medical Center, a community academic medical center. Indications for surgery were adenocarcinoma in 27, squamous cell carcinoma…
Rectal cancer management benefits from a multidisciplinary approach involving medical and radiation oncology as well as surgery. Presented are the current dominant issues in rectal cancer management with an emphasis…
Pancreatic resection can be performed safely in the community-based hospital setting only when appropriate systems are in place for patient selection and preoperative, operative, and postoperative care. Pancreatic surgery cannot…
