Cifaldi I, Bernardo M A, Marchei M, Sarmiento R, Sciò M, Marchei P
Ambulatorio di Oncologia Medica, Azienda USL RM G, Ospedale di Palestrina, Roma.
Minerva Med. 1998 Jun;89(6):241-6.
Oncological pathology represents a topic of particular interest and importance owing to both its rising frequency (151,690 deaths in Italy in 1992) and the continuous progress made in the diagnostic and therapeutic field. The steady growth of this pathology has led to the need to identify a new professional figure: the cancer physician capable of bringing together all the skills required to optimise the diagnosis and treatment of oncological patients. As it is now universally accepted in theory, but not always put into practice, the treatment of oncological pathologies calls for a multidisciplinary approach. The optimal treatment is based on the integration of the roles of all the various specialists: oncologist, surgeon, radiotherapist and expert in pain therapy. In this therapeutic strategy, the cancer physician should manage the starting phase of the disease and subsequently should manage its course together with the surgeon and radiotherapist, returning in the terminal phase to sole management of the cancer patient with the help of other qualified professional figures. In short, the authors feel that it is not exaggerated to state that the cancer physician plays a central role in resolving the needs posed by the problem of cancer, needs which may take the form of diagnosis, therapy and care.
肿瘤病理学是一个特别受关注且极为重要的主题，这是由于其发病率不断上升（1992年意大利有151,690人死于肿瘤）以及诊断和治疗领域不断取得的进展。这种病理学的稳步增长导致需要确定一个新的专业角色：癌症医生，其能够整合优化肿瘤患者诊断和治疗所需的所有技能。虽然现在理论上已普遍接受，但实际中并非总是如此，肿瘤病理学的治疗需要多学科方法。最佳治疗基于整合所有不同专科医生的角色：肿瘤学家、外科医生、放射治疗师和疼痛治疗专家。在这种治疗策略中，癌症医生应管理疾病的起始阶段，随后应与外科医生和放射治疗师共同管理其病程，在终末期借助其他合格专业人员的帮助，重新独自管理癌症患者。简而言之，作者认为可以毫不夸张地说，癌症医生在解决癌症问题所带来的需求方面发挥着核心作用，这些需求可能表现为诊断、治疗和护理。
