Based on the provided data, here are the surgical options available for different types of cancers and conditions:
Breast Cancer
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Breast-Conserving Surgery (Lumpectomy or Partial Mastectomy)
- This option involves removing the cancerous part of the breast while conserving as much of the breast as possible. It is often followed by radiation therapy.
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Mastectomy
- This involves the removal of the entire breast. There are different types of mastectomies, including total mastectomy and modified radical mastectomy.
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Axillary Lymph Node Evaluation
- This procedure is often performed alongside breast surgery to determine if cancer has spread to the lymph nodes.
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Non-Small Cell Lung Cancer (NSCLC)
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Lobectomy
- The standard surgical treatment for early-stage NSCLC, involving the removal of a lobe of the lung.
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Minimally Invasive Techniques
- These include stereotactic ablative radiotherapy (SABR), radiofrequency ablation (RFA), and microwave ablation (MWA). These are emerging as alternatives for patients who are not suitable candidates for surgery.
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Gynecologic Malignancies
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Fertility-Sparing Surgery
- Options include preserving a contralateral normal ovary and uterus for certain ovarian cancer subtypes and early-stage invasive epithelial ovarian cancer.
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Radical Trachelectomy
- For early-stage cervical cancer, this procedure involves removing the cervix while preserving the uterus.
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Ovarian Transposition
- This procedure is for women undergoing chemoradiation to preserve ovarian function.
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Prostate Cancer
- Robotic-Assisted Surgery
- The Da Vinci Surgical System is used for radical prostatectomy, offering benefits such as shorter hospitalization, less blood loss, and improved functional outcomes.
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General Surgical Options
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Minimally Invasive Options for Cutaneous Defects
- These include secondary intention healing, partial closures, and skin grafts.
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Nonoperative or Selective Approach in Trauma Management
- This approach is increasingly used in trauma management, focusing on nonoperative or minimally invasive techniques.
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Psychosocial Considerations
- Providing patients with a choice of surgery can lead to better psychosocial outcomes, including improved coping and physical and psychological functioning.
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Conclusion
The choice of surgical options depends on the type and stage of cancer, the patient's overall health, and personal preferences. It is crucial to discuss these options with your surgeon to determine the best course of action for your specific situation.