Although cancers can be completely removed through surgery, cancer cells can also spread to lymph nodes and other parts of the body despite tumor removal, and follow-up chemotherapy might be necessary.
The problem lies in a disconnect between surgeons’ “got it all” phrasing and their patients’ expectations, a group of bioethicists and surgeons write, because patients may think that, if all visible tumor tissue has been removed, they are cancer free — and that might not be the reality.
Even when a tumor is removed, only pathology can confirm that there is no cancer in the lymph nodes.Because of its plain-English simplicity, “got it all” is unlikely to be questioned by patients, the researchers suggest. The writers of the paper worry the phrase could prompt patients to refuse chemotherapy when they receive a later confirmation that there is cancer in their lymph nodes.
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