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Patient Pictures: Gynaecological Oncology, 2nd edn

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Patient Pictures: Gynaecological Oncology, 2nd edn

By Andy Nordin

Published 2014

72 pages, 33 illustrations

ISBN 978-1-908541-61-1


 

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Every year, approximately 20 000 women in the UK are diagnosed with cancer of the genital tract. While screening has been successful in reducing the incidence of cervical cancer, the incidence of endometrial cancer continues to rise due to a strong association with obesity. It is now more common than ovarian cancer, which has a fairly stable incidence. Over the next 20 years,
vaccination against HPV-16 and HPV-18 will lead to further decreases in cervical cancer, and will also start to reduce the incidence of vulval cancer. To tackle the rising incidence of endometrial cancer, weight management and the importance of healthy lifestyle choices are topics that must be addressed in the general population.

While gynaecological cancers still cause great suffering and claim many lives, earlier diagnosis of disease, new and refined surgical techniques, and progress in radiotherapy, chemotherapy and palliation management mean that patients have a better prognosis and quality of life than ever before. 

The diagnosis of cancer makes patients anxious and uncertain about their future. I believe that providing honest and reliable information helps women at this time of crisis. It enables them to become active participants in management decisions that carry profound implications for their quality of life. This book is designed as an information resource for patients and their families, and as a counselling aid for healthcare professionals. The pages are designed for easy photocopying so that the appropriate information can be given to the patient and/or carer to take home. I hope it will be used to help empower women to make informed choices for themselves.

Contents
The female genital tract
The lymphatic system
HPV (human papilloma virus)
CIN (cervical intraepithelial neoplasia)
Cervical cancer
Cervical cytology test (‘smear’ test)
Colposcopy and treatment of abnormal cervical cytology test (‘smear’ test)
Cystoscopy, biopsy and sigmoidoscopy
Imaging investigations: CT and MRI 
Loop biopsy, cone biopsy and simple hysterectomy
Radical hysterectomy
Laparoscopy
Laparoscopic lymphadenectomy, and laparoscopically assisted radical vaginal hysterectomy and radical trachelectomy
Ovarian cancer 
Ultrasound and Ca125 test for ovarian cancer 
‘Laparotomy’ surgery for ovarian cancer
Chemotherapy
Endometrial cancer
Endometrial biopsy and ultrasound 
Hysteroscopy and curettage Hysterectomy for endometrial cancer 
VIN (vulval intraepithelial neoplasia) and vulval cancer 
Vulvoscopy, vulval biopsy and treatment of VIN 
Wide local excision, radical vulvectomy and groin node dissection 
Gestational trophoblastic disease (GTD) and evacuation of the uterus 
Radiotherapy
Exenteration surgery
Fistulas
Urinary diversion, ileostomy and colostomy
Nephrostomy and ureteric stents
Intestinal obstruction from gynaecological cancer
Ascites and pleural effusion
Pain relief for gynaecological cancer

 

The author

Andy Nordin

MBBS MRCOG Queen Elizabeth Hospital, Gateshead, Tyne and Wear, UK


 

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