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P Ilbery

Publications and source records attributed to P Ilbery.

4 recordsLinked to original sources

The comprehensive cancer centre.

Comprehensive cancer centres have arisen around the world, very often on the foundations of radiotherapy departments, as in the case of the Cancer Institute in Melbourne. Such centres offer the complete non-surgical approach to cancer through multidisciplinary interaction with full diagnostic back-up, and are centres of excellence in at least one branch of surgical oncology. They are physically or organizationally autonomous entities. They undertake basic as well as clinical research. They provide training of personnel in cancer diagnosis, treatment and research.

Australia↗

The combined approach to cancer therapy in cancer centres.

In the complex field of cancer therapy the cancer centre approach may be seen more clearly by division of its structure into vertical and horizontal components. Vertically, there are numerous special consultative clinics in types of cancer usually associated with a body region (lung, breast, melanoma, etc.). Horizontally, there are teams of specialists (surgeons, radiotherapists, solid tumour chemotherapists), in some clinics supplemented by haematologists, immunologists, and endocrinologists, providing a wide therapeutic spectrum. Working together in a particular consultative team, the specialists are clinical oncologists, but without the summed wisdom and expertise of the group, the members are more accurately designated individually as specialists in the field from which they spring, for example, thoracic surgeon, haematologist, radiotherapist, and so on. The team approach lends itself to full exploitation of all the centralized sophisticated cancer machinery, be it in the form of equipment like cell-trifuges and linear accelerators, a range and depth of cancer monitoring aids, or a medical record system aligned to a computer, with consequent immediate and long-term therapeutic gain to patients. For the State there is greater efficiency and hence economy. In teaching, the aggregation of all matters relating to cancer therapy presents enhanced opportunities for training of technicians and scientists and nurses as well as doctors, for postgraduate instruction, and for continuing education. For progress in understanding cancer, it is clear that clinical research in conjunction with the combined approach in cancer centres can be conducted with sufficient numbers of patients to give statistical credence to clinical trials.

Antineoplastic Agents↗