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Cut, burn, and poison: well practiced and sometimes effective but yeah it's horrific to experience and barbaric.

I regret we aren't spending more on both genomics AND immunotherapies AND whatever else bears exploring.

I am quite optimistic IO and cell based therapies will minimize these techniques. But there's more baking to be done before they can be rolled out. The "primitive" techniques can be quite reliable for specific cancer variants.

Could you expand on the second half of your comment?

Seeing the effect of chemotherapy in a pet though was mind blowing. Visible tumors disappeared over the course of weeks. Sadly she relapsed a few months later, but it's a very powerful class of drugs.

"We're dealing with medievalism here! ...Chemotherapy! ...Fundoscopic examinations!" - McCoy, Star Trek IV: The Voyage Home