Clinical Care of the Terminal Cancer Patient

Richard J. Gralla, MD
JAMA. 1983;250(11):1472. doi:10.1001/jama.1983.03340110074053.
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The care of patients with advanced cancer requires that attention be given to many medical and psychosocial considerations. The authors have attempted to cover the variety of fields relevant to the care of patients with cancer in this helpful and readable volume.

The care of patients with advanced malignant neoplasms requires the acquisition of several skills; the decision concerning which of these skills might be the most appropriate to offer a patient is often difficult. With any specific patient, the question arises, has the time come for only supportive care or will symptom control be best achieved by active antitumor treatment? This book contains several chapters approaching both sides of the dilemma. The chapter on radiation therapy is excellent; it provides concise and reasonable information regarding indications, treatment plans, and expectations with this modality. The chapter on chemotherapy gives a good overview, but more specific guidelines concerning indications for chemotherapy


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