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Tables of Contents for Cancer and the Law
Chapter/Section Title
Page #
Page Count
Preface
xv
Introduction
1
4
The Law of Medical Negligence
5
15
Duty of care
5
2
Breach of duty
7
13
The Law of Causation
20
12
Loss of a chance
21
4
Material contribution
25
3
Duty and causation
28
4
The Cancer Patient as a Client
32
16
Strategies for managing the oncology client and the investigation
33
3
Preparing to meet the client
36
5
The first interview
41
7
Managing the Investigation
48
11
Pre-action disclosure
48
5
Working with the disclosed records, notes and materials
53
3
The Medical brief
56
3
Instructing Experts in Oncology Cases
59
12
case based on allegations of delay or failure to diagnose
60
2
case based on allegations of inappropriate or inaccurate radiotherapy
62
3
The letter of instruction
65
1
Introduction
65
1
List of supporting documents
66
1
Explanation of the records and documents
66
1
Factual or medical history
67
1
The expert's brief
67
3
The opposing arguments
70
1
Concluding the instructions
70
1
Damages
71
7
General damages
71
3
Provisional damages
74
4
Cancer: Basic Facts and Background
78
10
Cancer and its causes
78
1
Communicating
79
1
Cancer and its symptoms
80
1
Cancer and its signs
81
1
Hospital referral
82
1
Hospital assessment
82
2
Hospital tests
84
1
Treatment
84
4
Breast Cancer
88
5
Epidemiology
88
1
Presentation
88
1
Out-patient diagnosis
88
1
Surgery
89
1
Stage and grade
89
1
Adjuvant radiotherapy
90
1
Adjuvant hormonal therapy
91
1
Adjuvant chemotherapy
91
1
Treatment of metastatic breast cancer
91
1
High-dose chemotherapy
92
1
Ovarian Cancer
93
5
Epidemiology
93
1
Presentation
93
1
Investigations
93
1
Surgery
94
1
Pathology
94
1
Staging
94
1
Treatment
94
2
Second-look surgery
96
1
Prognosis
96
1
Tumour markers
96
2
Cervical Cancer
98
4
Epidemiology
98
1
Symptoms and investigation
98
1
Staging and grading
99
1
Treatment
99
1
Prognosis
99
1
Terminal care
100
1
Screening
100
2
Vulval Cancer
102
3
Introduction
102
1
Symptoms
102
1
Initial investigations and staging
103
1
Treatment
103
1
Grading and staging
103
1
Prognosis
103
1
Vulval intraepithelial neoplasia
103
2
Cancer of the Larynx
105
3
Epidemiology
105
1
Presentation
105
1
Investigation
105
1
Grade and stage
106
1
Treatment
107
1
Prognosis
107
1
Lung Cancer
108
4
Epidemiology
108
1
Presentation and investigations
108
1
Staging
109
1
Treatment
110
2
Cancer of the Tongue
112
3
Epidemiology
112
1
Presentation
112
1
Grading and staging
112
1
Treatment
113
1
Prognosis
114
1
Complications of treatment
114
1
Cancer of the Oesophagus
115
3
Epidemiology
115
1
Presentation
115
1
Investigation
115
1
Staging
116
1
Pathology
116
1
Treatment
117
1
Prognosis
117
1
Gastric Cancer
118
4
Epidemiology
118
1
Presentation
118
1
Investigations
118
1
Initial treatment
119
1
Staging
119
1
Adjuvant therapy
120
1
Treatment of metastases in inoperable local disease
120
1
Survival
121
1
Cancer of the Pancreas
122
3
Epidmiology
122
1
Symptoms and investigations
122
1
Staging and grading
123
1
Treatment
123
1
Treatment of inoperable disease
124
1
Cancer of the Colon
125
3
Epidemiology and presentation
125
1
Surgical management
125
1
Tumour grade and stage
126
1
Adjuvant treatment
127
1
Management of metastatic disease
127
1
Cancer of the Rectum
128
3
Epidemiology
128
1
Presentation and initial assessment
128
1
Surgery
128
1
Staging and grading
129
1
Complications of surgery
130
1
Adjuvant treatment
130
1
Prognosis
130
1
Treatment of metastatic rectal cancer
130
1
Renal Cancer
131
4
Epidemiology
131
1
Presentation
131
1
Hospital investigation
131
1
Surgery
132
1
Staging
132
1
Treatment of inoperable or metastatic tumour
132
2
Prognosis
134
1
Bladder Cancer
135
4
Epidemiology
135
1
Presentation and investigations
135
1
Tumour grading and staging
136
1
Treatment of superficial bladder cancer
137
1
Treatment of invasive bladder cancer
137
1
Treatment of metastatic bladder cancer
138
1
Prostate Cancer
139
4
Epidemiology
139
1
Presentation and investigation
139
1
Clinical staging and grading
139
1
Prostate specific antigen
140
1
Management
140
1
Treatment
141
1
Effects of treatment delay
141
1
Prognosis
142
1
Testicular Cancer
143
4
Epidemiology and presentation
143
1
Investigations
143
1
Pathology and staging
143
1
Treatment
144
1
Side-effects of treatment
145
1
Prognosis
146
1
Non-Hodgkin's Lymphoma
147
3
Epidemiology
147
1
Presentation
147
1
Initial investigations in hospital
147
1
Staging
147
1
Grading
148
1
Treatment and prognosis
148
2
Hodgkin's Disease
150
4
Epidemiology
150
1
Investigation and diagnosis
150
1
Tumour grade
151
1
Tumour staging
151
1
Treatment and its side-effects
151
2
Prognosis
153
1
Melanoma
154
5
Epidemiology
154
1
Presentation
154
1
Staging
155
1
Treatment of metastatic melanoma
156
1
Prognosis factors
157
2
Carcinoid Tumours
159
3
Epidemiology
159
1
Presentation
159
1
Investigations in hospital
159
1
Management
160
1
Prognosis
161
1
Mesothelioma
162
3
Epidemiology
162
1
Presentation and referral
162
1
Diagnosis and staging
163
1
Treatment
163
1
Prognosis
164
1
Myeloma
165
3
Epidemiology
165
1
Presentation
165
1
Hospital review
165
1
Diagnosis
166
1
Staging
166
1
Treatment
166
1
Response assessment
167
1
Complications of myeloma
167
1
Soft Tissue Sarcomas
168
3
Epidemiology
168
1
Presentation and initial investigations
168
1
Pathology
168
1
Staging
169
1
Treatment of the primary tumour
169
1
Treatment of metastatic sarcoma
170
1
Thyroid Cancer
171
3
Epidemiology
171
1
Presentation
171
1
Diagnosis
171
1
Management
172
1
Stage and grade
172
1
Postoperative management
173
1
Prognosis
173
1
Chemotherapy Extravasation
174
2
Appendix Cases
176
24
Glossary
200
5
Table of Cases
205
2
Index
207