Читать книгу Veterinary Surgical Oncology - Группа авторов - Страница 145

According to several studies, surgical resection, often described as “aggressive,” “radical,” or “wide,” is the first or primary treatment of choice with the best overall outcome in STS treatment. The surgical goal should always be removal of the complete tumor. If complete tumor removal is not achievable, for instance where there are important adjacent anatomical structures, cytoreductive surgery can be used as palliative care or in combination with adjunctive therapies. Multimodal therapy including adjuvant radiotherapy and/or chemotherapy may allow reduction in surgical dose without compromising local recurrence rates (Bostock and Dye 1980; Bray 2016; Davidson et al. 1997; Dernell et al. 1998; Ehrhart 2005; Liptak and Forrest 2013). Palliative care can be used to reach an acceptable survival time and, above all, a reasonable quality of living.