Journal
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
Volume 55, Issue -, Pages 93-108Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.bpobgyn.2018.08.004
Keywords
Uterine neoplasms; Ovarian neoplasms; Conservative treatment; Surgical procedures; Women's health
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Funding
- NHMRC Translating Research into Practice Fellowship [App1151021]
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Uterine cancer is the fifth most common cancer in women worldwide with an estimated 320,000 annual diagnoses. Its most common form, endometrioid adenocarcinoma of the endometrium (endometrial adenocarcinoma [EACI]), is thought to develop through excessive proliferation of endometrial glands, and then increasing steadily in incidence. The current standard treatment for EAC is hysterectomy, which is often curative. However, it may be unacceptably expensive for women with severe medical comorbidities, those who are at risk of intra- and postoperative adverse events and those who desire fertility. Ovarian cancer is the most malignant of all gynaecological cancers, but patients with disease limited to one ovary and patients with non-epithelial tumours may expect a good prognosis. A selected group of young patients who desire fertility may be well treated with conservative surgery. This chapter reviews patient selection, diagnosis, pre-treatment evaluation, treatment options, surveillance and risk of relapse. (C) 2018 Published by Elsevier Ltd.
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