Welcome to Supportive Cancer Care Victoria (SCCV) project website developed to ensure easy access to information and resources and to foster communication and collaboration between the nine Integrated Cancer Services (ICS) in Victoria.
The SCCV project has been initiated to assist the ICS implement the Victorian Government’s supportive care policy: Providing optimal cancer care: Supportive care policy for Victoria. This policy underpins the work of the ICS to achieve high quality supportive care services for people affected by cancer and provides a framework for achieving Victoria’s Cancer Action Plan 2008-2011.
Victoria’s Cancer Action Plan 2008-2011 (VCAP) sets the direction and targets for the cancer reforms over the next three years. Action Area four of VCAP commits to strengthening supportive care services for people with cancer and their carers and establishes the following supportive care targets:
- “By 2012 we will provide evidence of training of the cancer workforce in supportive care screening processes and survivorship awareness.”
- Continuum health partners: beth israel medical center • roosevelt hospital • st. cheap viagra online Luke's hospital • new york eye and ear infirmary about the gastrointestinal institute | find a doctor | contact us | continuum health partners > beth israel medical center > the gastrointestinal institute home who's at risk? prevention and screening cure and care at the gi institute detection, diagnosis and staging conditions treated our staff resources contact us . Anal cancer the anus is at the lower end of the rectum and the intestines. Its canal, a 2. viagra soft online 5- to 4-centimeters-long tubular passageway, connects the rectum to the outside skin at the anus. Anal cancers and their precursors can grow within the anal canal and cross an important anatomic landmark, called the dentate line, which divides the upper two-thirds and lower one-third of the canal. Many of these cancers are really skin cancers that arise within five centimeters (two inches) of the anal opening, and are visible from the outside. These anal epidermoid or squamous skin cancers occur at a rate of only one case for every cardinal cases of the far more common rectal adenocarcinomas or rectal cancers. While anal cancer is rare, it has served as the model upon which multidisciplinary cancer treatments have been built. discount generic viagra The causes of anal cancer are mostly unknown. Sexually transmitted papilloma virus infections, smoking and poor diets are often mentioned as possible causes. Anal cancers are more common in the homosexual population. Detection and diagnosis of anal cancer patients suspected of having anal cancer often complain of feeling a mass or pain in or around the anus or have rectal bleeding. viagra online overnight delivery These symptoms often are confused with hemorrhoids, frequently causing a delay in seeking treatment. online ordering viagra A digital rectal examination can detect an anal mass, and is usually followed by a painless office biopsy, confirming diagnosis. cheap viagra online Most patients then undergo the same evaluation as a patient with rectal cancer. Ct scanning and, more recently, mri is used to examine pelvic lymph nodes and the possible spread of cancer. Cheap viagra online without prescription However, unlike the vast majority of rectal cancers, lymph nodes in the groin (inguinal) also may be involved, and are identified by either physical exam or imaging scan. generic viagra online pharmacy A suspiciously enlarged groin node may be aspirated with a needle for cytology examination. Staging leading to treatment options for anal cancer rare stage i anal cancers are smaller than two centimeters (0. 8 inches) and superficial in depth of invasion. These tumors are removed surgically, and may not require further treatment, if the margins are cancer-free and microscopic findings are favorable. Stage ii tumors are two to five centimeters (0. 8-2 inches) in size. As they grow, they may invade the muscles of the anal sphincter. These tumors are initially treated with a combination of radiation therapy and chemotherapy. generic overnight viagra After a suitable period of observation following treatment, often eight to12 weeks, approximately 85 percent of patients remain cancer free and never need curative surgery. Ten to 15 percent of patients will require surgery for a persistent or recurrent cancer at the original site. These patients also may receive combined radiation and chemotherapy to make sure they are cancer free, to help preserve organ function and eliminate the need for colostomy. Buy viagra Stage iii anal cancers are more than five centimeters in size, have a higher risk of sphincter muscle invasion, are more difficult to cure and have a 40 percent or higher recurrence rate, even after radiation and chemotherapy. cheap viagra online Rare and unusual anal cancers there are several rare cancers of the anal canal, the anus and peri-anal skin. These include: melanoma: while primary malignant melanoma is very rare (less than one percent of all anorectal tumors), it is a highly dangerous condition with an overall five-year survival of only 15 percent. Because bleeding from the rectum is a symptom of this cancer, it is often mistaken for hemorrhoids. It occurs mostly in older people and affects men and women equally. It also can spread to lymph nodes in the groin or to distant sites in the body. Treatment is surgical removal of the cancer or removal of the rectum and anus, depending upon the stage of the disease. If the size of the tumor allows it, surgeons can locally excise this cancer, offering low morbidity and no colostomy. viagra overnight shipping Because it is so rare, there are no clear guidelines to recommend one surgical treatment over another. Treatment is determined by such factors as size of the tumor, depth of invasion, presence or absence of the cancer in lymph nodes or distant spread. Chemotherapy and radiation, while used experimentally, are largely ineffective in treating primary anal melanoma. Viagra no prescription Vaccines are currently undergoing study in clinical trials, but it is too early to tell how promising they will be. Sarcoma: anal sarcomas appear as a spherical mass and press on the anus from deeper inside body tissues. The degree of malignancy (low grade or high grade) is defined by the size of the mass, number of cell divisions, and degree of necrosis or tissue death within the tumor. generic viagra online overnight High-grade tumors tend to spread via blood vessels, particularly to the lungs, while low-grade tumors tend to recur locally, if they are not cured with treatment. sales viagra Large high-grade tumors present surgeons with no option other than to remove the rectum and anus. buy viagra online without prescription However, if the tumor is sma. “We will aim to document supportive care screening for 50 per cent of newly diagnosed cancer patients by 2012.”
The SCCV project will assist the ICS to develop local strategies to help improve supportive care outcomes for people affected by cancer and achieve the VCAP targets.