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Gynecologic Cancer, An Issue of Hematology/Oncology Clinics of North America - E-Book

Gynecologic Cancer, An Issue of Hematology/Oncology Clinics of North America - E-Book

Ross S. Berkowitz

(2012)

Additional Information

Book Details

Abstract

Topics include:Genetic Risk and Gynecologic Cancer, Current Management of Preinvasive Cervical Neoplasia, Current Surgical Management of Cervical Neoplasia, Current Surgical Management of Ovarian Cancer, Current Management of Trophoblastic Disease, and New Developments in Radiation Management and Gynecologic Cancers

Table of Contents

Section Title Page Action Price
Front Cover Cover
Hematology/Oncology Clinics of North America i
Copyright Page ii
Table of Contents vii
Contributors iii
Preface: Gynecologic Cancer xi
Chapter 1. The Epidemiology of Endometrial and Ovarian Cancer 1
TUMOR HETEROGENEITY AS IT MAY AFFECT EPIDEMIOLOGIC ASSOCIATIONS 1
AGE AND GEOGRAPHIC DISTRIBUTION 3
RISK FACTORS 4
MECHANISMS 6
STRATEGIES FOR PREVENTION 8
SUMMARY 8
REFERENCES 9
Chapter 2. Genetic Risk and Gynecologic Cancers 13
HBOC SYNDROME 13
LYNCH SYNDROME 18
OTHER SYNDROMES 22
SUMMARY 22
REFERENCES 22
Chapter 3. Management of Cervical Precancers: A Global Perspective 31
EPIDEMIOLOGY OF CERVICAL CANCER 32
HPV: EPIDEMIOLOGY AND MOLECULAR BIOLOGY 33
HPV INFECTION, IMMUNE SURVEILLANCE, AND DEVELOPMENT OF NEOPLASIA 33
SCREENING AND DIAGNOSIS OF CERVICAL PRECANCERS 34
MANAGEMENT OF SCREENING ABNORMALITIES 36
TREATMENT OPTIONS 36
SCREENING IN DEVELOPING SETTINGS 37
LIMITATIONS OF SCREENING SERVICES WORLDWIDE 38
HPV VACCINATION 39
SUMMARY 40
REFERENCES 40
Chapter 4. Current Management of Vulvar Cancer 45
STAGING 46
SURGICAL MANAGEMENT 48
MANAGEMENT OF STAGE I TO II VULVAR CANCER 48
SENTINEL LYMPH NODE BIOPSY 54
MANAGEMENT OF STAGE III TO IV VULVAR CANCER 56
SUMMARY 58
REFERENCES 59
Chapter 5. Surgical Management of Cervical Carcinoma 63
RADICAL HYSTERECTOMY FOR EARLY-STAGE DISEASE 64
MINIMALLY INVASIVE APPROACHES TO RADICAL HYSTERECTOMY 66
FERTILITY-SPARING RADICAL SURGERY 67
SURGICAL STAGING 70
PELVIC EXENTERATION 72
SUMMARY 74
REFERENCES 74
Chapter 6. Current Surgical Management of Endometrial Cancer 79
EARLY-STAGE DISEASE 79
ADVANCED-STAGE DISEASE 87
SUMMARY 88
REFERENCES 88
Chapter 7. Current Surgical Management of Ovarian Cancer 93
SURGICAL STAGING 94
TUMOR DEBULKING 98
PALLIATIVE SURGERY 104
REFERENCES 105
Chapter 8. Current Management of Gestational Trophoblastic Neoplasia 111
EPIDEMIOLOGY 112
PATHOLOGY 112
CLINICAL PRESENTATION 113
WORKUP 113
STAGING AND RISK ASSESSMENT 114
TREATMENT OF LOW-RISK GTN 115
TREATMENT OF HIGH-RISK GTN 118
MANAGEMENT OF CENTRAL NERVOUS SYSTEM METASTASES 119
MANAGEMENT OF PULMONARY METASTASES 119
MANAGEMENT OF HEPATIC METASTASES 120
MANAGEMENT OF RECURRENT AND CHEMORESISTANT GTN 121
MANAGEMENT OF COMPLICATIONS 122
MANAGEMENT OF PSTT AND ETT 122
FOLLOW-UP AFTER TREATMENT OF GTN 123
PERSISTENT LOW LEVELS OF HCG (QUIESCENT GTN) 123
SUBSEQUENT PREGNANCY EXPERIENCE 124
PSYCHOSOCIAL CONSEQUENCES OF GTN 125
REFERENCES 125
Chapter 9. New Biologic Agents for the Treatment of Gynecologic Cancers 133
ANTIANGIOGENESIS THERAPIES 133
PARP INHIBITORS 141
HH PATHWAY INHIBITORS 142
FR INHIBITORS 144
EGFR INHIBITORS 145
PI3K/AKT PATHWAY INHIBITORS 147
FUTURE DIRECTIONS OF TARGETED THERAPIES FOR GYNECOLOGIC CANCERS 149
SUMMARY 149
REFERENCES 149
Chapter 10. \rAdvances in the Use of Radiation for Gynecologic Cancers 157
CERVICAL CANCER 157
ENDOMETRIAL CANCER 161
VULVAR CANCER 164
SUMMARY 165
REFERENCES 165
Chapter 11. Contemporary Quality of Life Issues Affecting Gynecologic Cancer Survivors 169
CANCER, TREATMENT, AND SEXUALITY 170
REPRODUCTIVE ISSUES 173
SURGICAL TREATMENT AND RISK OF LYMPHEDEMA OF THE LOWER EXTREMITY 174
HRQOL AND PROS IN CLINICAL TRIALS 176
PALLIATIVE CHEMOTHERAPY: HRQOL IMPLICATIONS 178
BOWEL OBSTRUCTION 181
HRQOL, UTILITY, AND COST EFFECTIVENESS 181
CONNECTION AND CARE 181
REFERENCES 182
Index 195