Sacramento / California / United States
When a patient presents with a new cancer diagnosis, I clarify the potential goals of treatment, cure or palliation. If cure is the goal, it means 100% eradication and permanent removal of the disease. Palliative treatment controls cancer activity while preserving quality of life. Oncology has evolved to be a complex specialty and other specialties like pathology, surgery and radiation are involved at all stages of workup and treatment. I usually review the most up to date information using peer-reviewed databases like National Comprehensive Cancer Network (NCCN) clinical practice guidelines. Family is encouraged to attend appointments, take notes, and ask questions. It is important for the patient and his/her family to be informed of the natural history of the cancer, prognosis, treatment options, and side effects of treatment. This would allow them to make the most appropriate decisions about their care.
