 |
|
Oncologic Mathematics
Evolution of a New Specialty
Rajiv Y. Chandawarkar, MD;
Daniel P. Guyton, MD
Arch Surg. 2002;137:1428-1434.
Hypothesis Mathematical methods and their derivatives have practical applications to oncology. They can be used to describe fundamental aspects of tumor behavior, such as loss of genetic stability, tumor growth, immunologic identity, genesis of diversity, and methods of prognosticating cancer.
Data Sources Descriptive models and published literature in the fields of oncology and applied mathematics.
Data Synthesis Cancer does not conform to simple mathematical principles. Its irregular mode of carcinogenesis, erratic tumor growth, variable response to tumoricidal agents, and poorly understood metastatic patterns constitute highly variable clinical behavior. Defining this process requires an accurate understanding of the interactions between tumor cells and host tissues and ultimately determines prognosis. Applying time-tested and evolving mathematical methods to oncology may provide new tools with inherent advantages for the description of tumor behavior, selection of therapeutic modes, prediction of metastatic patterns, and providing an inclusive basis for prognostication. We term this combined field of research "oncologic mathematics." As surgeons, we have the unique opportunity to be active participants and assume leadership in research that affects selection of the optimal anticancer treatment for our patients. Mathematicians describe equations that define tumor growth and behavior, whereas surgeons actively deal with biological processes. Oncologic mathematics applies these principles to clinical settings.
Conclusion Experimentally testable, oncologic mathematics may provide a framework to determine clinical outcome on a patient-specific basis and increase the growing awareness that mathematical models help simplify seemingly complex and random tumor behavior.
From the Division of Plastic Surgery (Dr Chandawarkar) and the Department of Surgery (Dr Guyton), Akron General Medical Center, Northeastern Ohio Universities College of Medicine, Akron. Dr Chandawarkar is now with the Department of Plastic and Reconstructive Surgery, M. D. Anderson Cancer Center, Houston, Tex.
|
