What s New in Surgical Oncology

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1 What s New in Surgical Oncology

2 Andrea Valeri Carlo Bergamini Ferdinando Agresta Jacopo Martellucci Editors What s New in Surgical Oncology A Guide for Surgeons in Training and Medical/Radiation Oncologists 123 Springer

3 Editors Andrea Valeri General, Emergency and Minimally Invasive Surgery Careggi Hospital Florence, Italy Carlo Bergamini General, Emergency and Minimally Invasive Surgery Careggi Hospital Florence, Italy Ferdinando Agresta Local Healthcare Unit ULSS 19 Veneto Adria, Italy Jacopo Martellucci General, Emergency and Minimally Invasive Surgery Careggi Hospital Florence, Italy ISBN ISBN (ebook) DOI / Springer Milan Dordrecht Heidelberg London New York Library of Congress Control Number: Springer-Verlag Italia 2013 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. consulting the relevant literature. Cover design: Ikona S.r.l., Milan, Italy Typesetting: Graphostudio, Milan, Italy Springer-Verlag Italia S.r.l. Via Decembrio 28 I Milan Springer is a part of Springer Science+Business Media (

4 Preface The idea for a volume covering those aspects of oncology most relevant to the general surgeon arose when the ACOI (Italian Association of Hospital Surgeons) assigned to me the presidency of the XXXIInd national congress. This book therefore aims to identify and describe the treatment options for malignancies that are most frequently adopted in general surgery departments, with emphasis on the most innovative and efficient procedures. While, given the importance of financial constraints, issues of cost-effectiveness are not neglected, our main concern has been to approach the topic in a way that will enable new generations of surgeons to apply rapidly emerging techniques and technologies with confidence. Moreover, a multidisciplinary, integrated approach has been emphasized that also involves medical and radiation oncologists, radiologists, and other specialists. This textbook has been made possible by the fruitful cooperation of leading Italian surgical teams who play a key role in the various fields of surgical oncology. All of them have demonstrated that they are able to follow a broad multidisciplinary approach in the treatment of cancer patients, which is a sine qua non for achievement of the best therapeutic outcome. Our colleagues and friends have also participated enthusiastically in this project. We feel a deep gratitude for their efforts and their intense research. In addition, we would like to thank the staff of Springer Verlag, who have followed and assisted us in our work step by step with outstanding professionalism. Personally, I wish to thank my coeditors, Ferdinando Agresta, Jacopo Martellucci, and, last but not least, Carlo Bergamini, who has again been a source of strength in bringing this latest project to successful fruition. Florence, May 2013 Andrea Valeri v

5 Contents 1 Esophageal Cancer Riccardo Rosati, Giovanni Pallabazzer, Alessandra Melis, Biagio Solito, Maria Grazia Fabrini, Laura Ginocchi and Stefano Santi 2 Gastric Malignancies Domenico Garcea, Andrea Rinnovati and Paolo Morgagni 3 Colon Cancer Francesco Corcione, Pierluigi Angelini and Lucia Miranda 4 Carcinomas of the Rectum and Anus Paolo De Paolis, Alberto Bona, Andrea Borasi, Giuseppe Spinoglio, Ferruccio Ravazzoni, Boris Franzato and Carlo Augusto Sartori 5 Hepatobiliary Cancer Lorenzo Capussotti, Luca Viganò and Nadia Russolillo 6 Pancreatic Adenocarcinoma Marco Filauro, Gian Andrea Rollandi, Filippo Grillo Ruggieri, Gianni Coccia, Lorenzo Bacigalupo, Alberto Gozza and Andrea Barberis 7 Pancreatic Cystic Tumors Marco Farsi, Francesco di Mola and Pierluigi Di Sebastiano 8 Gastrointestinal Stromal Tumors: Surgical and Medical Therapy Alessandro Comandone, Silvia Gasperoni, Roberto Manetti and Pietro Tonelli 9 New Knowledge in the Diagnosis and Medical Treatment of Pancreatic Neuroendocrine Tumors Lorenzo Antonuzzo, Luca Messerini, Camilla Comin, Giulia Meoni, Elisa Lucherini and Francesco Di Costanzo vii

6 viii Contents 10 Adrenal Tumors Carlo Bergamini, Jacopo Martellucci, Tatiana Bargellini, Ancuta Leahu, Domenico Capizzi, Alfredo Miseri and Andrea Valeri 11 Hematologic Malignancies of Surgical Interest and Splenic Tumors Jacopo Martellucci, Carlo Bergamini, Caterina Santi, Riccardo Somigli and Andrea Valeri 12 What s New in Surgery for Kidney Cancer? Marco Carini, Sergio Serni, Alberto Lapini and Andrea Minervini 13 Well-Differentiated Carcinomas of the Thyroid Gland and Neoplasms of the Parathyroid Glands Micaela Piccoli, Casimiro Nigro, Barbara Mullineris, Roberto Panconesi and Gianluigi Melotti 14 Non-invasive and Invasive Breast Cancer Carlo Mariotti and Luis J. Sánchez 15 Pulmonary Malignancies Federico Davini, Franca Melfi, Francesca Allidi and Alfredo Mussi 16 Surgical Emergencies in Cancer Patients Ferdinando Agresta, Nereo Vettoretto, Gian Luca Baiocchi and Fabio Cesare Campanile 17 Cancers of Unknown Origin Fabio Cesare Campanile, Gian Luca Baiocchi, Nereo Vettoretto and Ferdinando Agresta Index

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