Gynecological Cancer Management
Identification, Diagnosis and Treatment

Over the past three decades, as the specialty of obstetrics and gynecology has matured into a broad and diverse group of skills and disciplines, it has become apparent that there are diagnoses and conditions in gynecologic oncology where the obstetrician-gynecologist has a level of uncertainty, or lack of confidence in his ability or knowledge base to adequately manage the patient and therefore refers the patient to a gynecologic oncologist.

This text portrays the advances in the field and reviews the current management of a number of gynaecologic conditions to give the reader the confidence needed to deal with these issues. The distinguides Editors have crafted the book to include:

• Case vignettes to provide clinical context
• Pathology notes to aid diagnostic outcomes
• Management guidance for obgyn practitioners to enable the best outcome for their patients

Each topic is introduced with a concise overview followed by case-based scenarios which discuss the specific management of common problems.

Providing the general gynecologist with the current clinical information necessary to manage conditions and identify the situations where consultation or referral to a gynecologic oncologist would be in the patient?s best interest. 

Preface, ix

Acknowledgements, xi

1 Vulvar Dystrophies, 1
Denniz Zolnoun

2 Vulvar Intraepithelial Neoplasia and Cancer, 16
Leigh A. Cantrell & Linda Van Le

3 Vaginal Intraepithelial Neoplasia, 29
Leigh A. Cantrell & Linda Van Le

4 Cervical Neoplasia, 40
Jennifer L. Ragazzo & Daniel L. Clarke-Pearson

5 Endometrial Hyperplasia and Endometrial Cancer, 53
Aaron Shafer & Linda Van Le

6 Unusual Neoplasms of the Uterus, 67
Alberto A. Mendivil & Daniel L. Clarke-Pearson

7 Management of Women at High Risk for Gynecologic Cancers, 84
Lisa N. Abaid & Paola A. Gehrig

8 Evaluation and Management of the Adenxal Mass, 95
Lisa N. Abaid & Daniel L. Clarke-Pearson

9 Ovarian Tumors of Low Malignant Potential, 110
Rabbie K. Hanna & John T. Soper

10 Early Epithelial Ovarian Cancer, 121
Alberto Mendivil & Wesley C. Fowler Jr.

11 Ovarian Sex Cord–Stromal Tumors, 135
Emma Rossi & John T. Soper

12 Germ Cell Tumors of the Ovary, 150
Alberto A. Mendivil & Victoria Lin Bae-Jump

13 Adenxal Masses in Pregnancy, 163
Ursula Balthazar & John F. Boggess

14 Gestational Trophoblastic Disease, 173
Rabbie K. Hanna & John T. Soper

Index, 189

Colour plates can be found facing page 116

John T Soper, MD, Professor of Obstetrics & Gynecology, Department of Obstetrics & Gynecology, University of North Carolina, Chapel-Hill, North Carolina, USA