Cancers unique to women

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Sprache:English
Veröffentlicht: Philadelphia [u.a.] Saunders 1998
Schriftenreihe:Surgical oncology clinics of North America 7,2
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adam_text CANCERS UNIQUE TO WOMEN CONTENTS Foreword i Blake Cady Preface xi Cornelius O. Granai The Gynecologic Oncology Model: Research 255 Setsuko K. Chambers Research in gynecologic oncology has been increasingly empha¬ sized over the last decade. The formal training within this subspe cialty has expanded to include quality research, both clinical and laboratory science, as an integral part. There have also been recent major advances in the laboratory and clinical based understanding of the genetics, biology, and treatment of gynecologic cancers. De¬ spite the fiscal constraints of the 1990s that have impacted the ability of the clinician scientist to balance the responsibilities of research, teaching, and patient care, there are ongoing attempts to improve the research environment for physician scientists in this field. Screening For Gynecologic Cancer 263 Gerald Pretorius Screening for cancer of the uterus, cervix, and ovary allows earlier detection of disease in some asymptomatic women. The screening tests commonly used have low false negative rates and, with the exception of endometrial biopsy and endometrial washings in de¬ tection of uterine cancer, they have high false positive rates. Con¬ clusions concerning effectiveness of screening tests in improving the likelihood of a favorable outcome are difficult because there are no randomized trials. Without randomized trials, cost benefit anal¬ ysis of screening for gynecologic malignancies is imprecise. W SURGICAL ONCOLOGY CUNKS OF NORTH AMERICA VOLUME 7 • NUMBER 2 • APRIL 1998 v Endometrial Cancer: Current Concepts and Management 271 Harrison G. Ball and Eman A. Elkadry Endometrial cancer is the most common pelvic gynecologic cancer in women. Its occurrence is associated with endometrial hyperpla sia, unapposed estrogen therapy, and more recently, tamoxifen. The staging uses information obtained at the time of surgery. Hys¬ terectomy continues to be the primary treatment for most patients with endometrial cancer, whereas postoperative radiation therapy is used in the treatment of patients with other than low risk prog¬ nostic factors. Controversies in Benign Breast Disease 285 Douglas J. Marchant Breast health means more than breast cancer. At least 50% of pa¬ tients seen at a multidisciplinary breast center have benign condi¬ tions. Pain, nipple discharge, and a question of a mass are the usual chief complaints. This article provides contemporary information and management guidelines for the common breast conditions as¬ sociated with these complaints. Cervical Cancer 299 James W. Orr, Jr Despite the development of cervical cytology, cancer of the cervix continues to be a major health problem for women. The cause, diagnostic, and therapeutic management of women with preinva sive and invasive disease is discussed. Ovarian Cancer 317 Walter Gajewski and Robert D. Legare Ovarian cancer is the leading cause of death in women with pelvic malignancies. Because of the multiple histologic types of malig¬ nancy that can arise within the ovary, accurate diagnosis and stag¬ ing is critical for optimal patient care. The current standard of proper surgical management followed by combination chemother¬ apy is outlined. In addition, risk factors, screening, prognostic fac¬ tors, and the approach to the relapsed patient is discussed. Vulvar Cancer 335 John D. Nash and Stephen Curry Historically, nearly all vulvar cancer is managed by ultraradical surgery. Currently, individualized and more surgically conserva¬ tive approaches achieve equivalent outcomes with far less morbid¬ ity and cosmetic disfiguration. Microinvasive disease can be cured with local excision only. Lateral lesions are usually managed with i local excision and ipsilateral groin node dissection only. Advanced j disease responds remarkably to chemoradiation. I Primary Vaginal Cancer 347 Annekathryn Goodman Vaginal cancer, 2% of all female genital malignancies, has a worse prognosis than cervical cancer. Squamos cell carcinoma, the most common histologic subtype, may be associated partly with human papillomavirus. Most patients present with vaginal bleeding and discharge. Radiation or surgery are the main treatment modalities, but the physical and psychosexual morbidity can be significant. Fallopian Tube Carcinoma 363 Najmosama Nikrui and Linda R. Duska Primary fallopian tube carcinoma represents less than 1% of all gynecologic malignancies and is therefore one of the less common malignancies of the female genital tract. Fallopian tube carcinoma is rarely diagnosed preoperatively and is often mistaken for benign pelvic disease or ovarian cancer. Compared with ovarian carci¬ noma, fallopian tube cancer more often presents in early stage but seems to have a worse prognosis, stage for stage. Treatment con¬ sists of surgical debulking followed by chemotherapy, adjuvant or otherwise. New studies are needed to better delineate the clinical course, prognostic factors, and appropriate chemotherapy recom¬ mendations. Cancer in Pregnancy 375 Stephen S. Falkenberry Cancer in pregnancy requires the careful consideration of multiple complex issues to achieve the most favorable outcome for mother and fetus. Presented are the principles of surgery, radiation, and chemotherapy as they pertain to pregnancy, and a discussion of site specific cancers. Pelvic Radical Surgery 399 Hector M. Tarraza and R. Mark Ellerkmann The management of gynecological malignancies is dictated by the stage and nature of the disease. Often, the optimal treatment re¬ quires radical pelvic surgery. This is especially true in cervical, ovarian, and vulvar carcinoma. Radical hysterectomy, exenterative procedures and tumor debulking comprise the armamentarium of gynecological oncologists. This article attempts to review the dif¬ ferent surgical strategies with attention to their respective indica¬ tions, potential complications, and overall efficacy. Index 417 Subscription Information Inside back cover f
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series2 Surgical oncology clinics of North America
spelling Cancers unique to women Cornelius O. Granai, guest ed.
Philadelphia [u.a.] Saunders 1998
XI S., S. 255 - 419 Ill.
txt rdacontent
n rdamedia
nc rdacarrier
Surgical oncology clinics of North America 7,2
Femmes
Tumeurs
Frau
Cancer
Neoplasms
Women Diseases
Women's Health
Frau (DE-588)4018202-2 gnd rswk-swf
Genitalkrebs (DE-588)4020153-3 gnd rswk-swf
(DE-588)4143413-4 Aufsatzsammlung gnd-content
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DE-604
Granai, Cornelius O. Sonstige oth
Surgical oncology clinics of North America 7,2 (DE-604)BV007071205 7,2
HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008114292&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle Cancers unique to women
Surgical oncology clinics of North America
Femmes
Tumeurs
Frau
Cancer
Neoplasms
Women Diseases
Women's Health
Frau (DE-588)4018202-2 gnd
Genitalkrebs (DE-588)4020153-3 gnd
subject_GND (DE-588)4018202-2
(DE-588)4020153-3
(DE-588)4143413-4
title Cancers unique to women
title_auth Cancers unique to women
title_exact_search Cancers unique to women
title_full Cancers unique to women Cornelius O. Granai, guest ed.
title_fullStr Cancers unique to women Cornelius O. Granai, guest ed.
title_full_unstemmed Cancers unique to women Cornelius O. Granai, guest ed.
title_short Cancers unique to women
title_sort cancers unique to women
topic Femmes
Tumeurs
Frau
Cancer
Neoplasms
Women Diseases
Women's Health
Frau (DE-588)4018202-2 gnd
Genitalkrebs (DE-588)4020153-3 gnd
topic_facet Femmes
Tumeurs
Frau
Cancer
Neoplasms
Women Diseases
Women's Health
Genitalkrebs
Aufsatzsammlung
url http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008114292&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
volume_link (DE-604)BV007071205
work_keys_str_mv AT granaicorneliuso cancersuniquetowomen