Most patients with gynecologic cancer are middle-aged to elderly and have a high incidence of coexisting medical problems at the time of presentation. The medical status of all patients requiring…
Vulvar cancer represents about 5% of malignancies of the female genital tract and 0.6% of female cancers. There were estimated to be 4,850 new cases of vulvar cancer diagnosed in…
In order to surgically manage gynecologic malignancies, it is frequently necessary to perform surgical procedures beyond the genital tract. These include selected operations on the intestinal and urologic tracts, and…
Epithelial ovarian cancer has the highest fatality-to-case ratio of all the gynecologic malignancies, because more than two-thirds of patients have advanced disease at diagnosis (1,2). It presents a major surgical…
Endometrial carcinoma is the most common malignancy of the female genital tract in developed countries, and the fourth most common cancer in women after breast, lung, and colorectum. Developing countries…
Essential tools for the practicing gynecologist are an understanding of benign and malignant breast diseases, the ability to detect and diagnose breast cancer, and an appreciation of the various treatment…
Gestational trophoblastic disease (GTD) includes a spectrum of interrelated tumors, including complete and partial hydatidiform mole, invasive mole, choriocarcinoma, placental site trophoblastic tumor (PSTT) and epithelioid trophoblastic tumor (ETT) that…
The focus of health care delivery is shifting toward modalities that provide the best value for patients, which requires optimization of the physical, emotional, and economic aspects of care. Se…
Laparoscopy is widely accepted for numerous gynecologic oncology operative procedures. These operations have been associated with short hospital stays, quick recovery times, and rapid return to full activity. The assistance…
Traditionally, nutritional support has been viewed as an intervention to preserve lean body mass, maintain immune function, and avoid metabolic complications. As understanding of the biologic effects of nutrition has…
