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Women with ovarian and other gynecologic cancers live significantly longer when they receive care at hospitals that treat a large number of patients with these conditions, according to research on more than 850,000 women. Women with cervical, ovarian, uterine, vaginal and vulvar cancer who were cared for at high-volume centers lived about a year longer than those cared for at low-volume centers, the study found. The number of women treated at high-volume centers steadily increased during the course of the 13-year study.

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The objective of this attempt at clarification is to discuss the contributions of this discipline to everyday surgical activity, to provide surgeons with some tools facilitating initial evaluation of their patients, and to remind the reader of situations in which oncological assistance is of paramount importance.

Algorithm may help better predict how likely it is a woman will have cancer in her future.

Source: Diagnostic ImagingCategory: Radiology Authors: Tags: Breast Imaging Dense Breasts Source Type: news

Abstract
OBJECTIVE: To describe the change over time in place of death (hospital, home, hospice) among all women in the United States who died of gynecologic malignancies and compare them with other leading causes of female cancer deaths.
METHODS: This is a retrospective cross-sectional study using national death certificate data from the Mortality Multiple Cause-of-Death Public Use Record Data. All women who died from gynecologic, breast, lung, and colorectal cancers were identified according to International Classification of Diseases, 10 Revision, cause of death from 2003 to 2015. Regression analyses with …

Source: Obstetrics and GynecologyCategory: OBGYN Authors: Tags: Obstet Gynecol Source Type: research

Staging systems provide a common language to support clinical research and decision making in patients with cancer. The eighth edition of the AJCC Cancer Staging Manual incorporates updates that reflect evolving clinical practices and scientific insights. The present article summarizes changes that have been made for gynecologic subsites and outlines continued challenges. Gynecologic American Joint Committee on Cancer/International Union Against Cancer staging continues to conform closely to current International Federation of Obstetrics and Gynecology staging. The eighth edition is aligned with the major revision made to …

PET and PET/computed tomography play a role in the staging, monitoring of response to therapy, and surveillance for cervical and ovarian cancers. Currently, it is also an integral part of the assessment of patients with endometrial cancer and other gynecologic malignancies, such as vaginal and vulvar cancers and uterine sarcomas. In this article, we discuss in detail and highlight the potential role of PET and PET/computed tomography in evaluating these gynecologic malignancies using illustrative cases with relevant imaging findings.

Source: PET ClinicsCategory: Radiology Authors: Source Type: research

ConclusionsPFDs are prevalent in gynecologic cancer survivors and this is an important area of clinical concern and future research.

Cancers of the female reproductive system include ovarian, uterine, vaginal, cervical and vulvar cancers, which are termed gynecologic cancer. The emergence of long noncoding RNAs (lncRNAs), which are believed…

Source: Molecular CancerCategory: Cancer & Oncology Authors: Source Type: research

Conclusions: Of gynecologic cancer surgeries, ovarian cancer patients had the highest rate of VTE. Venous thromboembolism rates were lower in those who had minimally invasive surgery but remained higher in those with disseminated disease.

Publication date: Available online 10 February 2017 Source:Gynecologic Oncology Reports Author(s): Alpaslan Kaban, Işık Kaban, Selim Afşar Vulvar cancers, which constitute 5% of all gynecologic cancers, are the fourth most common female genital cancers, preceded by uterine, ovarian and cervical cancers. The treatment methods employed for vulvar cancers have changed over the years, with previously applied radical surgical approaches, such as en bloc resection, being gradually suspended in favor of treatment approaches that require dissection of less tissue. While the removal of less tissue, which today’s approaches have…

Conclusions: Positron emission tomography/Computed tomography is clinically valuable for a variety of gynecologic cancers. Relevance: PET/CT plays an important role in detection of initial disease and recurrence of gynecologic malignancies.
Target Audience: Obstetricians and gynecologists, family physicians.
Learning Objectives: After completing this activity, the learner should be better able to: Show appropriate indications for ordering a PET/CT for staging of the most common gynecologic cancers, including ovarian, endometrial, and cervical cancers; show appropriate indications for ordering a PET/CT for recurrence of t…

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