Berndt H
Z Gesamte Inn Med. 1978 Jul 15;33(14):449-54.
The importance of internal medicine for the care of patients with carcinoma increases. This is particularly connected with the rapid development of the antineoplastic drug therapy. However, these are not the only tasks of the internal specialists. He is responsible for the ascertainment of the diagnosis, the judgment of the anatomical extension of the tumour with clinical means (classification of stages) and the diagnostics and treatment of concomitant diseases as prerequisites of a rational therapeutic planning. In the oncological team the internal specialist not only represents the specifically internal possibilities of treatment, but is in charge of the continuous general medical and psychic care of the patient. The internal specialist plays an important role in the entire coordination of the specialised care. This refers to the documentation of findings in the carcinoma register of the hospital, to planning and evaluation of controlled clinical experiments, special oncologic consulting hours and consulting functions as a competent specialist also outside oncologic centres, which should be established in district hospitals and teaching hospitals as a common task of all participating disciplines. For this a profound specialisation within the field of internal medicine is necessary. A subspecialisation acknowledged by the state would be a stimulus, but it is not compulsorily necessary. This introduction into the topic shall the internal specialist make clear his role and responsibility in the oncologic care and facilitate the communication with other specialities.
内科在癌症患者护理中的重要性日益增加。这尤其与抗肿瘤药物治疗的快速发展相关。然而，这些并非内科专家的唯一任务。他负责确诊，运用临床手段判断肿瘤的解剖学扩展情况（分期分类），以及诊断和治疗伴随疾病，这些都是合理治疗规划的前提条件。在肿瘤治疗团队中，内科专家不仅代表内科特有的治疗方法，还负责对患者进行持续的综合医疗和心理护理。内科专家在专科护理的整体协调中发挥着重要作用。这涉及在医院癌症登记册中记录检查结果，规划和评估对照临床试验，设立专门的肿瘤咨询门诊以及担任专科顾问，即使在肿瘤中心之外，作为主管专家的咨询职能也应在地区医院和教学医院中建立起来，这是所有参与学科的共同任务。为此，内科领域内的深入专业化是必要的。国家认可的亚专业会是一种激励，但并非强制必需。本主题介绍旨在让内科专家明确其在肿瘤护理中的角色和责任，并促进与其他专业的沟通。
