Читать книгу Veterinary Surgical Oncology - Группа авторов - Страница 41

A multi‐modal approach incorporates a combination of some or all of surgery, radiation, and chemotherapy as the backbone of therapy options, and encompasses less common treatments such as gene therapy, photodynamic therapy (PDT), cryotherapy, and immunotherapy on a case‐by‐case basis. Treatment protocols which involve multi‐modal therapy inherently require a planned and coordinated approach from the outset involving the surgeon, the radiation oncologist, the medical oncologist, and the Owner working together to achieve the best outcome. All specialists must know the animal’s status and special situation as well knowing the owner. This way nothing is “lost in translation” and confidence is maintained, resulting in a strong sense of trust. The surgeon, who operates on an animal with a solid tumor, then refers to a radiation oncologist to “mop up” residual disease has likely done the animal a disservice. Upfront surgical and radiation therapy planning minimizes surgical morbidity and minimizes normal tissue radiation injury while maximizing the efficacy of the union of modalities.