chapter  24
Principles of chemotherapy
ByCharles G. Kelly
Pages 6

If the cancer has already caused organ destruction and there is no future option to maintain organ function, then surgery with or without adjuvant radiotherapy may give the best chance of cure and long-term survival. Organ preservation is pointless if the patient is left with a nonfunctioning organ, especially if it may lead to future problems such as aspiration. Chemotherapy can be used in this situation as well. It may be used as induction chemotherapy to shrink the advanced primary tumour or shrink and render xed cervical nodes mobile, potentially enabling technically easier surgery.