Full Description
Gynecological oncology surgery has shown substantial progress in recent years. Most of the advances come from gynecologists with full time commitments to gynecological oncology. Jt is important for the general obstetrician-gynecologist to be informed about the possibilities offered by modern gyneco logical oncology. Thus he or she may acquire new techniques which can be used in general gynecological practice. On the other hand it is essential to know what his or her colleagues, specialised in gynecological oncology can offer in oncology centres. The chapters in this book are based on a post-graduate course organised by the Boerhaave Committee for post-graduate medical education of the medical faculty of the University of Leiden, in the Netherlands. In view of the considerable interest shown by many highly qualified specialists we are extremely grateful to our contributors who were prepared to lucidly present their knowledge and expertise within the covers of the present book. One of the conclusion of this book must be that the special surgical skills needed for adequate treatment of gynecological cancer cannot be developed within general residency programs. Thus European gynecologists should examine whether and to what extent additional training as usual in the U.S.A. is necessary. The editors want to thank the Royal College of Obstericians and Gynecologists for their kind permission to reproduce the contribution of J.A. Jordan (chapter 7 from "pre-clinical neoplasia of the cervix" (London, 1982). A.P.M. Heintz, M.D. C.Th.G‾i66ith‾,M.D.
Contents
I Surgery in cancer of vulva and vagina.- 1 Conservative management of vaginal and vulval intraepithelial neoplasia.- 2 Surgical treatment of cancer of the vulva: Superficially invasive vulvar cancer with nodal metastases.- 3 Surgical treatment of cancer of the vulva: Radical vulvectomy and bilateral lymphadenectomy through separate groin incisions.- 4 Carcinoma of the vagina.- II The surgical treatment of cervical intraepithelial neoplasia.- 5 CIN - Definition, epidemiology and diagnosis.- 6 The treatment of cervical intra-epithelial neoplasia by surgical cone biopsy.- 7 Treatment of CIN by destruction - laser.- 8 Destruction of cervical intraepithelial neoplasia at 100oC with the Semm coagulator.- 9 The treatment of CIN by cryotherapy.- III Surgery in cervical cancer.- 10 Diagnosis and treatment of microinvasive cervical cancer.- 11 Surgical treatment of cervical cancer by the Wertheim- Okabayashi procedure.- 12 Surgical treatment of cervical cancer by the A.V.R.U.E.L. procedure.- 13 Urodynamics after radical surgery for carcinoma of the uterine cervix.- 14 Radiotherapy in conjunction with surgery in the treatment of patients with early cervical cancer.- 15 Pelvic exenteration in the treatment of recurrent cervical cancer.- 16 Pelvic reconstruction.- IV Surgery in endometrial cancer.- 17 The morphological basis for the treatment of endometrial carcihoma in situ.- 18 New techniques for out-patient diagnosis of endometrial carcinoma.- 19 Surgical treatment of endometrial cancer.- 20 The role of radiation therapy in conjunction with surgery in the treatment of endometrial carcinoma.- V Surgery in ovarian cancer.- 21 The morphological basis for the treatment of borderline tumours of the ovary.- 22 New developments in the surgical treatment of ovarian cancer.- 23 The roleof the abdominal radical tumor reduction procedure (A.R.Tu.R.) in the treatment of ovarian cancer. A preliminary evaluation of prognostic factors at the University of Utrecht, department of oncological gynecology.- 24 Evaluation of the "second-look operation".- VI General aspects of surgery in gynecological oncology.- 25 Nutritional support in gynecologic cancer.- 26 Psychological aspects of gynaecological oncology surgery.- 27 The role of the social worker in gynaecological oncology.
