Oncology surgery, also known as surgical oncology, is a type of surgery that is focused on the diagnosis, treatment, and management of cancer. It involves the removal of tumors, cancerous tissues, or, in some cases, entire organs affected by cancer. Surgery can be used alone or in combination with other treatments such as chemotherapy, radiation therapy, and immunotherapy. The goal of oncology surgery can vary from curing the cancer (curative surgery) to reducing symptoms (palliative surgery) or preventing cancer from developing (preventive surgery).
Oncology surgery includes several types based on the cancer's stage and goal of treatment. Curative surgery aims to remove localized tumors and surrounding tissues to eliminate cancer in its early stages. Debulking surgery removes as much of the tumor as possible when complete removal would harm vital organs, followed by chemotherapy or radiation. Palliative surgery helps relieve symptoms in advanced cancer, improving quality of life. Reconstructive surgery restores appearance or function after tumor removal, such as breast reconstruction after a mastectomy. Preventive (prophylactic) surgery is done to prevent cancer, like mastectomy in those at high risk. Staging surgery determines the extent of cancer by removing portions of the tumor or lymph nodes for examination.
Oncology surgery offers several key benefits, including the potential cure for cancer when tumors are localized. It helps provide accurate diagnosis and staging by obtaining tissue samples for biopsy, which informs effective treatment planning. Symptom relief is another benefit, especially with palliative surgeries that alleviate pain, bleeding, or blockages. Surgery can also enhance treatment outcomes when combined with chemotherapy or radiation by reducing tumor size. For early-stage cancers, surgery can prevent the spread of cancer and preserve organ function by removing cancerous tissue while sparing healthy parts of organs. Additionally, some minimally invasive techniques reduce recovery time, and reconstructive surgery restores function or appearance after tumor removal.
While oncology surgery provides many benefits, it also carries risks. Incomplete removal of cancer may occur, requiring further treatments, and there is always a risk of complications, such as infections, excessive bleeding, or blood clots. Surgery can also lead to extended recovery times, with patients experiencing fatigue or physical limitations. In some cases, there may be functional impairment, such as loss of organ function or body part, which can affect quality of life. Long-term effects, such as scarring or chronic pain, may persist, and there is a rare risk of cancer cells spreading during surgery. Patients may also require additional treatments after surgery, like chemotherapy, and the emotional and psychological impact of surgery can be significant, affecting mental well-being.
Oncology surgery plays a vital role in cancer treatment, offering the possibility of curing cancer, improving outcomes with other therapies, and alleviating symptoms to enhance quality of life. However, it comes with risks, including complications, incomplete cancer removal, and extended recovery periods. The decision to undergo surgery should be carefully considered based on cancer type, stage, and patient health. It's essential for patients to consult with oncologists and surgeons to fully understand the potential benefits and risks for their specific situation.