Dr. Murat Can Mollaoğlu (MD) graduated from Istanbul University Cerrahpaşa Faculty of Medicine in 2007. He became a General Surgery specialist in 2016. In 2020, he became a subspecialist in Surgical oncology. Dr. Mollaoğlu has many articles in internationally indexed journals. Dr. Mollaoğlu has treated patients with acute and chronic health problems in different health fields for many years. He has also worked as a chapter writer and book editor in many international books.
Palliative care (PC) refers to all services provided to make the remaining life of a patient meaningful and valuable. It is recommended that palliative care that is applied to improve the life quality of the patients should not be based only on the diagnosis and prognosis of the disease but also on the need of the patients. Even, palliative care was administered only in the late stages of diseases in the past, but these days it is recommended to be administered in addition to therapies starting from the diagnosis of life-threatening diseases. Palliative care requires a multidisciplinary team approach consisting of professionals who serve for a common purpose. No single palliative care model can be fit for all conditions. However, there is a universal fundamental principle of palliative care: it should address the individual wishes and needs of each patient and the relatives of patients. The development and training of palliative care services vary from country to country: palliative care services are in the development stage in developing countries, compared to developed countries. This chapter provides necessary information about palliative care services, a multidisciplinary health service.
Part of the book: Palliative Care
Tumors that have both neuroendocrine and exocrine components in the gastrointestinal system are rare. One of the rarest places in the gastrointestinal system is the colon. These tumors are called mixed adenoneuroendocrine carcinomas (MANEC). To diagnose MANEC, the neuroendocrine and exocrine components that make up the lesion must be present at least 30%. A 70-year-old female patient with complaints of abdominal distension, malnutrition, nausea, and vomiting was admitted to our clinic from another center. The patient underwent blood tests, whole abdominal tomography, and colonoscopy. Right hemicolectomy and retroperitoneal lymph node dissection were performed with the preliminary diagnosis of colon cancer. Histopathological diagnosis was MANEC, and tumor stage was T3N1M0. Adjuvant chemotherapy was applied. Although MANEC is rare, it is a difficult and complex cancer to diagnose due to its nonspecific features. Diagnosis is made with histopathological and immunohistochemical evaluation along with clinical suspicion. Treatment is surgery and adjuvant therapy.
Part of the book: The Global Burden of Disease and Risk Factors