Philippe LaCologne IF Host Defence and Neoplasia
Activity
Tutorial
Tutorial
Mr. Lacologne is a 41 year old man who had a stage II colon cancer resected 3 years prior. He had his annual CT scan, and there was a 3 cm hypoechoic lesion in segment 6. His surgeon referred him to a liver Surgeon and Medical Oncologist. The surgeon explained that this is likely recurrent disease from his colon cancer, and recommended chemotherapy neo-adjuvantly and after surgery. He was started on FOLFOX chemotherapy for 6 cycles, subsequent CT and MRI of his liver showed a partial response to chemotherapy. He underwent a left hepatic lobectomy, and following recovery completed an additional 6 cycles of FOLFOX. Two years later subsequent lung lesions are identified in multiple lobes bilaterally. He returns to the Medical Oncologist, and is recommended to start chemotherapy (FOLFIRI/bevacizumab). He asks why surgery is not an option now, and said he heard on the internet that that this bevacizumab drug can cure cancer.
Curriculum Block
Host Defense and Neoplasia / Integration Foundation / Part 5 / Week 3
- Indicates most relevant
Objectives
General Objectives
- Describe the role of surgery, radiation and systemic therapy in the management of cancer.
- Recognize how an interdisciplinary team can help manage a patient with complex chronic disease.
- Identify a patient centered approach to care for individuals with chronic illnesses.
Global Objectives
Assessments
Mid-Unit Tutorial Assessment
Concept Application Exercise (CAE)
End-Unit Tutorial Assessment
Tags
Basic Sciences
Genetics
Curriculum Block
Host Defense and Neoplasia
Integration Foundation
Part 5
Week 3
Curriculum Week
IF
Week 3
Discipline
Genetics
Medical Oncology
McMaster Program Competencies
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
MeSH
Adenocarcinoma [C04.557.470.200.025]
Angiogenesis Inhibitors [D27.505.696.377.077.099]
Antineoplastic Agents [D27.505.954.248]
Antineoplastic Agents, Immunological [D27.505.954.248.384]
Chemotherapy, Adjuvant [E02.186.170]
Colonic Neoplasms [C04.588.274.476.411.307.180]
Genetic Counseling [H01.158.273.343.315.384]
Genetic Counseling [N02.421.308.400]
Neoplasm Metastasis [C04.697.650]
Neoplasm Staging [E01.370.550]
Tropism [G07.345.249.845]