[Ways to increase the effectiveness of diagnosis and prognosis in oncology based on the selection of problem-oriented symptom records].
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Biomedical subjects
Publications and source records attributed to Iu Ia Gritsman.
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The state of the art in diagnosis and treatment of esophageal cancer was analysed. The results substantiate the need for setting up inter-district specialized oncologic dispensary-affiliated centres providing adequate diagnosis and treatment of esophageal cancer.
Out-patient diagnosis of cancer is carried out in three stages which involve activities of different physicians. Cancer is first suspected by a general practitioner. Prophylactic measures other than examination by specialists and chest photo-roentgenography proved insufficient, and the authors give reasons for this. During the second stage, the patient undergoes further thorough examination which should be well organized to succeed. The third stage, viz. making the final diagnosis, should be performed in an oncologic establishment only.
Basic conventional methods of secondary cancer prevention are clinically reviewed. The authors hold that further extensive development of present-day organisational patterns (wider screening coverage of population, growing number of objective diagnostic techniques) shows no promise in inducing positive trends of cancer outcome statistics. Scientifically validated diminution of precancer definition is stated. Selection of population at risk for cancer and proper examination of these risk groups seem most perspective in improvement of cancer statistics.
It is pointed out that distinctive features of malignant neoplasms of the female genital system determine peculiarity of organization of medical care for patients with cancer of uterus, ovary and external genital organs. Violation of the basic principle, i.e., examination and treatment of oncogynecologic patients should be carried out only in specialized departments, mostly is the cause of the main defects of the above kind of medical care (late diagnosis, inadequate treatment). The number of oncogynecologic departments and their bed fund should be planned on the basis of malignant neoplasm morbidity rates among the female residents of the given territory.
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Due to errors in the planning and development of cancer hospital system there is a gap between the present-day cancer morbidity levels and the number and profile of oncological hospital beds. Fresh approaches to cancer control planning are required. Improvement in treatment strategies is an important factor of cancer in--patient service development.
The advantages offered by application of combined and complex treatment make the case for perfecting procedures of optimal choice, combination and adequate evaluation of the efficacy of methods of malignant tumor treatment. The report deals with a retrospective analysis of procedures of evaluation of cancer patients treatment. Treatment modalities, concurrent monitoring and alternative study group selection are discussed. Emphasis is placed on the role and significance of cooperative prospective and retrospective randomization studies.
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