MULTIDISCIPLINARY APPROACH to Oesophageal and gastric cancer



    This book aims at highlighting the present and very dynamic development in the field of pper GI cancers. Oesophageal and gastric cancer are diseases with poor prognosis. Looking back to ous efforts to treat these serious malignancies have been dated already to the ancient periods. The introductory chapter of this issue is therefore dedicated to history of gastric cancer that is tightly connected to history of development of surgical techniques. Surgery remains the basic cornerstone of the treatment of localized oesophageal and gastric cancer and chapters attributed to surgery delineate the sustained development either in classical surgical techniques but also an implementation of new technologies, especially robotic surgery into clinical practice.

    Price: 790 CZK (31EUR),  Pre-order: info@currentmedia.cz




Actual articles

Adverse events of oncological treatment in a general practitioner’s ambulance

05/2019 MUDr. Jiří Navrátil, Ph.D.
Cancer treatment may be accompanied by a number of side effects. We always try to educate our patients, they are equipped with a telephone emergency number and often also with rescue medication, which they can use in case of problems (antiemetics, antidiarrheals, analgesics, etc.). Nevertheless, there may be situations where patients go with their problems primarily to a general practitioner (they do not use the recommended medication, or the recommended medication is not enough, the patient did not pick up the drugs in the pharmacy and so on). Good cooperation between a general practitioner and an oncologist is therefore very important. The most common side effects of oncological treatment including immunotherapy and their management in general practitioner will be presented in the article.

Gastric neuroendocrine neoplasms

05/2019 MUDr. Michaela Miškovičová
Gastric neuroendocrine neoplasms are rare lesions consisting of a heterogenous group of neoplasms. The majority of them arise from ECL (enterochromaffin-like) cells - neuroendocrine cells of gastric mucosa, which produce histamin and have the impact on the regulation of gastric secretion. This is why we can call them “ECLomas”. Their incidence is increasing, due to the widespread use of upper digestive endoscopy and the technical refinement of endoscopists. Gastric neuroendocrine neoplasms comprise tumor types of varying pathogenesis, histomorphologic characteristic, biological behavior and prognosis. They can present with clinical symptoms, or can be asymptomatic, carcinoid syndrome is extremely rare. The correct management of patients with gastric neuroendocrine neoplasms can only be proposed when the tumor has been classified by an accurate pathological and clinical evaluation of the patient.

Pregnancy after breast cancer treatment

05/2019 MUDr. Renata Koževnikovová
Breast cancer is the most common malignity in female population. Over the past years, incidence hasn't risen as well as prognosis has improved. Although the newly diagnosed women under 40 makes just small part of all cases, with higher age of reproduction start, after-treatment pregnancy has been increasingly frequent question. Available data shows that pregnancy after treatment is safe regardless of type and stage, if started after treatment, respectively after breast cancer diagnose. Pregnancy was observed in patients treated at our center in years 2003-2016. It was recorded 44 pregnancies at 29 women in total. It was born 38 healthy children; 1 dead and 5 gravidities were early terminated. Only one patient died of disease progression, which occurred during pregnancy, other patients are in long term disease remission. Average observation time is 9,5 years. Our observation results confirm after treatment pregnancy safety, according to published data.