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Oregon Hematology Oncology Associates

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Cancer: Surgery

Cancer

Surgery
How is surgery used in cancer treatments?

Surgery is used in the diagnosis, staging, and treatment of cancer. A biopsy, which is surgical removal of a small piece of tissue, is often done to diagnose the type of disease. The extent of disease or stage is sometimes determined using surgical techniques. Surgery is also used to remove affected organs or tissues, either as a single treatment or in combination with radiation therapy or chemotherapy.

Why do I need additional treatment if I already had surgery to remove my cancer?

Other treatments such as chemotherapy and radiation therapy are often necessary because there may be cells in the body that are undetectable by x-rays or blood tests which have been shed from the primary tumor. If surgery alone is used, these cells may eventually grow and the cancer will come back.

Is chemotherapy done before surgery?

Yes, sometimes chemotherapy is done to shrink the tumor before surgery. Surgery may then be less extensive or easier to perform.

I have heard of patients having surgery to place a device in their vein if starting on IV is a problem. What type of surgery is this?

Patients undergoing chemotherapy require frequent blood tests and intravenous infusions. If “starting an IV or drawing blood” is difficult, we may recommend that a semi-permanent or durable intravenous line be placed. These permanent lines (either implanted ports or catheters) are placed surgically in the chest area and can be left in for a week, a month or years. The procedure is most often done as an outpatient and the line is able to be used immediately after. Should you require one of the devices, we will explain the procedure in detail and help you choose the type of device that will best meet your needs. You would then be referred to a surgeon for the actual procedure.

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