Surgical Services for Cancer Care

Authors: Anna Dare, Benjamin O. Anderson, Richard Sullivan , C.S. Pramesh, Cheng-Har Yip, Andre Ilbawi, Isaac Adewole, Rajendra Badwe, Cindy Gauvreau


Surgery is a fundamental modality for curative and palliative treatment of most cancers in countries across all income settings. In high-income countries (HICs), where the most common solid organ malignant cancers, such as breast and colon cancers, are more likely to be successfully diagnosed at early stages, surgical resection provides definitive locoregional control of the primary tumor. This approach has significant curative potential when combined with appropriately selected adjuvant systemic treatment and radiotherapy. In lowand middle-income countries (LMICs), where locally advanced or metastatic cancer is a common initial disease presentation, surgical resection or debulking may be one of the few available modalities to achieve reasonable palliative disease control.

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