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Author reply by Andrew Renshaw; Michael Jiroutek is a Medicine article available to read on EtoBox.
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The Concept of Tenju-gann, or "Natural-End Cancer" T he concept of Tenju-gann proposed by Kitagawa et al. 1 and dis- cussed in the accompanying editorial by Kennedy 2 deserves broader application than these authors suggest. Although cancer is increasingly an illness of the elderly, there remains a significant burden of disease among the young and middleaged, particularly in terms of years of potential life lost. There is also evidence that some solid tumors occurring in those younger than 40 years behave more aggressively and result in poorer outcomes than the same disease diagnosed at a more advanced age. 3,4 Being cheated of health and forced to pay the cancer "tax" before enjoying the fruits of a long life is a devastating situation that leads patients, families, and physicians to pursue every reasonable attempt at therapy. The vast majority of advanced solid cancers become refractory to therapy over time or never demonstrate initial sensitivity to systemic treatment. In many cases, symptomatic and supportive care become the best and most appropriate therapeutic options. In these situations, the concept of Tenju-gann or "natural-end cancer," as presented by Kitagawa et al. 3 cou
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- Author
- Andrew Renshaw; Michael Jiroutek
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0008-543X)
- Published
- 1999
- Language
- EN
- Field
- Medicine (Health Sciences)