|
Preface
|
ix. |
|
Chapter 1. Overview
|
1 |
| Introduction |
1 |
| References |
2 |
|
Chapter 2. Anatomy, Physiology, and Pathophysiology
|
3 |
| Introduction |
3 |
| Internal Female Reproductive Organs |
3 |
| External Genitalia (Vulva) |
9 |
| Lymphatic Drainage of the Female Genital Tract |
10 |
| Breasts |
11 |
| Sexual Function |
11 |
| Sexually Transmitted Diseases |
12 |
| Pelvic Inflammatory Disease |
13 |
| Pelvic Pain |
13 |
| Menstrual Issues/Differential Diagnosis |
13 |
| Summary |
14 |
| References |
14 |
|
Chapter 3. Prevention and Early Detection of Cancers of the Cervix, Ovaries, and Endometrium
|
17 |
| Introduction |
17 |
| Cervical Cancer |
17 |
| Ovarian Cancer |
23 |
| Endometrial Cancer |
28 |
| Summary |
31 |
| References |
31 |
|
Chapter 4. Preinvasive Disease of the Cervix, Vulva, and Vagina
|
37 |
| Introduction |
37 |
| Preinvasive Disease |
37 |
| Evaluation of the Cervix |
37 |
| Diagnostic Tests |
38 |
| Vulvar Intraepithelial Neoplasia |
39 |
| Vaginal Intraepithelial Neoplasia |
40 |
| Risk Factors for Premalignant Vaginal and Vulvar Lesions |
40 |
| Management of Preinvasive Disease |
40 |
| Special Considerations |
42 |
| Summary |
43 |
| References |
43 |
|
Chapter 5. Invasive Cervical Cancer
|
47 |
| Introduction |
47 |
| Types of Cervical Cancer and Histology |
47 |
| Signs, Symptoms, and Diagnosis of Cervical Cancer |
47 |
| Cervical Cancer Staging |
51 |
| Treatment |
51 |
| Special Situations |
57 |
| Palliative Care |
57 |
| Future Directions |
58 |
| Summary |
58 |
| References |
58 |
|
Chapter 6. Endometrial Cancer
|
63 |
| Introduction |
63 |
| Etiology and Epidemiology |
63 |
| Risk Factors |
64 |
| Risk Reduction and Protective Effects |
65 |
| Treatment |
67 |
| Recurrent Disease |
71 |
| Future Trends |
71 |
| Summary |
71 |
| References |
71 |
|
Chapter 7. Epithelial Ovarian Cancer, Fallopian Tube Carcinoma, and Primary Peritoneal Carcinoma
|
75 |
| Introduction |
75 |
| Epidemiology and Risk Factors |
75 |
| Hereditary Epithelial Ovarian Cancer |
76 |
| Screening, Presentation of Symptoms, and Diagnostic Testing |
77 |
| Staging Surgery |
79 |
| Pathology |
80 |
| Immunomarkers |
80 |
| Adjuvant Chemotherapy |
80 |
| Consolidation and Maintenance Therapy |
83 |
| Radiotherapy |
83 |
| Surveillance |
83 |
| Recurrent Disease |
84 |
| Future Outlook |
85 |
| Summary |
86 |
| References |
86 |
| Chapter 8. Nonepithelial Ovarian Cancer |
91 |
| Introduction |
91 |
| Ovarian Germ Cell Tumors |
91 |
| Sex Cord Stromal Tumors |
96 |
| Rare Nonepithelial Ovarian Tumors |
98 |
| Summary |
99 |
| References |
99 |
|
Chapter 9. Gynecologic Sarcomas
|
103 |
| Introduction |
103 |
| Etiology and Epidemiology |
103 |
| Clinical Presentation and Diagnostic Evaluation |
107 |
| Staging |
107 |
| Treatment |
107 |
| Recurrent Disease |
108 |
| Summary |
108 |
| References |
108 |
|
Chapter 10. Trophoblastic Disease
|
113 |
| Introduction |
113 |
| Epidemiology of Trophoblastic Variants |
113 |
| Gestational Trophoblastic Disease |
114 |
| Gestational Trophoblastic Neoplasia |
117 |
| Placental Site Trophoblastic Tumor |
121 |
| Evidence-Based Practice |
122 |
| Psychosocial Impact of Trophoblastic Disease |
112 |
|
Chapter 11. Vulvar and Vaginal Cancers
|
127 |
| Vulvar Cancer |
127 |
| Vaginal Cancer |
131 |
| Summary |
137 |
| References |
137 |
|
Chapter 12. Pelvic Exenteration and Reconstruction
|
139 |
| Introduction |
139 |
| Exenterative Surgery |
140 |
| Nursing Care |
144 |
| Summary |
147 |
| References |
148 |
|
Chapter 13. Acute Symptom Management
|
149 |
| Introduction |
149 |
| Surgery |
149 |
| Chemotherapy |
149 |
| Radiation Therapy |
158 |
| Summary |
158 |
| References |
158 |
|
Chapter 14. Long-Term Symptom Management
|
165 |
| Introduction |
165 |
| Peripheral Neuropathy |
165 |
| Lower Extremity Lymphedema |
168 |
| Menopausal Management |
172 |
| Summary |
178 |
| References |
178 |
|
Appendix: International Federation of Gynecology and Obstetrics Staging Classification for Gynecologic Cancer
|
183 |
| Index |
187 |