title: [Should a doctor be insistence in proposing surgery for cancer?].
abstract: On a basis of a large personal experience in treatment of patients with gastro-intestinal cancer the author considers the expediency of convincing patients in surgical treatment of gastro-intestinal cancer, especially in the new social situation in Russia. Positive experience in long-term follow-up (more than 10-20 years) of patients, operated on because of cancer, is one of pro factors for such a convincing. The results of long-term follow-up (exceeding 9 and 25 years) of the patients operated on in gastro-intestinal cancer (including primary-multiple cancer); the clinical case of a patient, who was operated for several times at the period of 13 years-10 malignant tumors were removed from his body; the clinical case of a patient, who was operated in case of 3 sinchronous cancers (cancers of pancteatic head, rectum and ascending colon) illustrate the benefit of the operative intervention.
authors.affiliation: Institute of surgery of AV Vishnevskii, Moscow.
authors.forename: V D
authors.initials: VD
authors.lastname: Fedorov
mesh_terms: D017050:Episode of Care; D004992:Ethics, Medical; D005500:Follow-Up Studies; D005770:Gastrointestinal Neoplasms / Q000523:psychology / Q000601:surgery*; D006801:Humans; D010817:Physician-Patient Relations; D012426:Russia
vernacular_title: Dolzhen li vrach nastoichivo predlagat' operatsiiu po povodu raka?.