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Surgical Overview:

In most cases of cancer, a surgeon will be the doctor that actually obtains the cells that are looked at by the pathologist who makes the diagnosis of cancer. This may be by way of a need aspiration, core biopsy, incisional/excisional biopsy, or the use of special scopes that are placed into the suspected area either through the mouth (going all the way to the large intestines) or through the anus (going up to the small intestines). Sometimes a small incision is made into the chest or abdomen and a scope is inserted with a special viewing tube that allows the doctor to see any abnormal areas that may need to be biopsied. If all of these less invasive techniques are unsuccessful at determining if a cancer is present, then a more extensive surgery may be required in which general anesthesia may be required along with a hospital stay.


Once a diagnosis is made, in most situations, tests will be performed to determine the extent of the cancer. These will usually include x-rays, CT scans and/or MRIs and blood tests.

If it is determined that the cancer can be safely and completely removed, then surgery may be recommended. In some cases, it may be determined that the use of chemotherapy and/or radiation may shrink a tumor that will allow for a better chance for a complete removal. If this is the case, you will need to have several other tests, including an EKG (which will show how your heart is working and whether you will be able to tolerate surgery), a chest x-ray if one has not already been taken (to see if there are possible lung problems), and a special breathing test especially if there is any chance that a part of the lung is going to be removed.


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If all of these tests show that you can go to surgery safely, then there are many things that you need to consider. You may want to determine if there is a need for blood. If the answer is yes, then you should ask your surgeon about donating your own blood beforehand and ask family members of the same blood type to donate also. You should also spend time with your surgeon to talk about what the operation will remove and how it will affect your daily activities, appearance, strength and ability to continue to work if you are employed. You need to ask about how long it is estimated that you will be hospitalized and how the decision will be made to discharge you from the hospital. You should have a set follow up appointment not only with the surgeon but for any rehab services that may be needed, like occupational therapy and physical therapy. Once these questions have been addressed, you can make plans with your family and your employer.

As with all surgeries, the area being operated on will result in different side effects. The side effects of surgery on the throat will have different side effects than removal of the bladder. If you receive chemotherapy and or radiation before and/or after surgery, some of the surgical side effects can be worsened. ALWAYS ask questions so that you understand what is about to happen to you.

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