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Categories of Oncology Care and

Historical Outcomes

1) Local (limited to the site of origin)

Highest cure rates (especially with more extensive surgery)

Non-surgical treatments woefully inadequate

Relapse is predominantly distant

2) Local-regional (spread to lymph nodes and adjacent organs)

Mediocre cure rates, 30-50%

Concurrent chemo added to improve radiotherapy

Most patients will relapse either locally or distant

3) Metastatic (spread to distant sites)

Dismal cure rates, <5%

Surgery only helpful in small percentage

Most patients first relapse in original sites of disease burden