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Cancer Knowledge Network

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Journal Article Reviews

by Resident Section Editor Monisha Sudarshan, MD







Evolution of Long-Term Outcome of Liver Resection for Colorectal Metastases: Analysis of Actual 5-Year Survival Rates over Two Decades.

Journal:  Annals of Surgical Oncology

Authors:  Viganò L, Russolillo N, Ferrero A, Langella S, Sperti E, Capussotti L.

Date of publication: January 5, 2012 [Epub ahead of print]

Reference: Viganò L, Russolillo N, Ferrero A, Langella S, Sperti E, Capussotti L. Evolution of Long-Term Outcome of Liver Resection for Colorectal Metastases: Analysis of Actual 5-Year Survival Rates over Two Decades. Ann Surg Oncol. 2012 Jan 5

Click here for abstract and full text article.

Dr. Sudarshan’s Review:  An interesting retrospective study analyzing outcomes of liver resection for colorectal metastases over the past two decades. Outcomes studied included 5-year survival rates, rates of recurrence, recurrence location and treatment. Results indicate a significant progress in survival rates even in the presence of negative prognostic factors.

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Cancerful Friends – by Megan Simpson

Afterword by Resident Editor, Monisha Sudarshan, MD

In Megan Simpson’s almost poetic reflection, Cancerful Friends, we get a glimpse into the dynamics and relationships formed within cancer support groups. We are taken on a journey from Megan’s first encounter with Lorna, another support group member and dear friend, to Lorna’s final moments in life.

Megan aptly conveys that although physicians, nurses and other health care workers are vital in cancer management, the friendship and guidance from a fellow cancer patient can be invaluable. Cancer patients who are already battling their own mortality are also faced with the mortality and possible loss of a close friend in such circumstances. But for Megan, who recognizes this, their friendship is priceless and Lorna’s inspiration and kindness lives on in Megan and the many other cancer patients whose lives she touched.

Megan Simpson’s poignant article also highlights the growing and ever-important concept of whole patient care. Physicians must recognize that providing patients with information and options for support such as patient cancer groups can leave a lasting impact and much needed comfort.

Read the post by Megan Simpson



Cancerful Friends

Lorna Marshall

Afterword by Resident Editor, Monisha Sudarshan, MD

by Megan Simpson

I remember the day I met her at my local small town breast cancer support group.

She held such poise.
Her smile was so inviting and she seemed so comfortable in her skin.
It was my second support group meeting ever.
I had just been diagnosed a month prior.
I had just completed my first chemo treatment…my hair had JUST fallen out.
And there I sat, not really knowing why I was there, just looking for something to dull my fears or take the pain away.
Lorna led the group that day and she had a way of commanding the attention of the room. She started everyone around the table telling their cancer stories.
When it got to her I was completely caught off guard.
Lorna told us of her recurrence.
Lorna spoke openly of her terminal diagnosis to the group.
It was hard to believe that such a smiley, confident woman could be terminal.
Or shall I say, how a woman with a terminal diagnosis could be so smiley and confident?….still proud.
How can she say it in such a matter of fact way? I’d expect her to be meek.




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Fertility Preservation: A Powerpoint Presentation

Click here to view Fertility Preservation Powerpoint Presentation

A presentation given by Dr. Hananel Holzer regarding the McGill Reproductive Centre approach to fertility preservation.  For more information, please contact:

Hananel Holzer M.D
Director, MUHC Reproductive Center
Assistant Professor, Department of Obstetrics and Gynecology
Program Director, Reproductive Endocrinology and Infertility Fellowship
Faculty of Medicine
McGill University
687 Pine avenue West, Room F6.58
Montreal (Quebec) Canada H3A 1A1.
Tel: (514) 843 1650 Fax: (514) 843 1496

A comparative analysis of monthly out-of-pocket costs for patients with breast cancer as compared with other common cancers in Ontario, Canada

C. J. Longo, B. G. Bereza

Read the Updated Commentary October, 2012



Monthly out-of-pocket costs (OOPC) for Ontario patients with cancer have previously been reported, but little detail has been provided on differences based on tumour type.


A questionnaire administered in cancer clinics in the province of Ontario, with a mix of urban and rural patients, was analyzed using descriptive statistics and a regression analysis of cross-sectional data. The dependent variable was OOPC (Canadian dollars), analyzed separately for total OOPC (excluding imputed travel costs), and for each of the individual cost categories.

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