The value of the prediction of malignant tumors
Oncology / / May 12, 2016
When considering for a certain form of the tumor within a particular group of people: the patient - family - the doctor issues a specific prediction of tumor become especially important, even in terms of the contacts between the parties.Quite naturally, and that the patient is interested in prognosis of the disease and wants to know how it will shape his life after diagnosis and initiation of treatment.Note that in this case the question of the forecast assumes a different meaning than, for example, among non-specialists or doctors who are not constantly colliding with the cancer problem.
course each patient desire to know what his fate in the future.He wants to know about their disease just enough to understand the often difficult and sometimes painful procedure for him treatment.The patient would be happy to forget about their disease, or, on the contrary, he is forced to rebuild their lives, focusing on their disease.However, as evidenced by the observation, question: "How much I have left to live y
As part of traditions made to questions forecast of tumor diseases have been discussed with the patient's relatives.It is very important in connection with the forced scarcity of information of information reported to the patient, in matters related to his fate, to the members of his family business, science-based assessment of the prognosis of the disease.At the same time great importance is the correct assessment of the particular atmosphere that surrounds the patient.It is also necessary to try to resolve some aspects of the personal life of the patient.From these positions, apparently, it can be considered justified if his relatives want to get the most information about the expected outcome of the disease.The volume of information must fully comply with the place, time and purpose, so that the patient's family to meet its moral and human responsibilities and to settle all that is required, under the necessary conditions of life of the patient.And there should be no talk about the hopelessness of the disease in the prognosis evaluation.People in this situation, especially in need of optimism and helping to make the lives of the sick and their families bearable and under certain conditions even satisfactory.
Undoubtedly the most important is the question of the objective knowledge of the prognosis of the disease your doctor.That doctor needs the entire course of the disease can be more accurately foresee that, on the one hand, to be able to psychologically handle correctly with the patient and his family members, and on the other - to try to develop the most appropriate treatment plan within the means at its disposal opportunities.This refers to the selection of the most appropriate and the corresponding phase of the disease treatment, given the potential symptomatic maintain at the moment when radical methods of treatment are powerless and can only worsen the patient's condition, the more so that the treating physician is responsible not only for ensuring the longevityand health of the patient, who entrusted herself to him, but also for the quality of life.Do not give success too intense and too long treatment in the final stage of the disease, but, on the other hand, often even today, despite the long-term thinking, doctors underestimate some of the features and refuse treatment based on the fact that under these conditions therapy already inexpedientand more humane and reasonable is a symptomatic treatment.
is no doubt the importance of the physician to have a clear and comprehensive view on the expected future development of the process.
Much remains unresolved the question of what should be considered a good prognosis that bad, and that the relatively good prognosis for a cancer patient.There is probably in every case should be answered individually.A certain, and perhaps decisive role is played here by the patient perception of life.One should never forget that you must fall into one of the most important truths of Oncology - in their prognostic reasoning physician should be aware of the achievements of modern science of cancer.Extending the life of a sick child of 2 years, taking into account the situation today seems not so important, but if we evaluate these 2 years from the point of view of possible discoveries in the field of oncology, they can be very important, and perhaps decisive in the struggle for human life.Past experience gives us the lessons and evidence that such a course of reflection, of course, justified.