Gynecologic Oncology Consult
Gynecologic Oncology Consult
Hormones after cancer: Are they safe?
Hormonal therapy is safe, even beneficial, for many patients with a history of gynecologic cancer, and can significantly improve their quality of...
Gynecologic Oncology Consult
The medical management of early-stage endometrial cancer: When surgery isn’t possible, or desired
Hormonal therapy has long been identified as a highly effective systemic therapy for endometrial cancers, particularly those that are low grade...
Gynecologic Oncology Consult
Optimizing ‘optimal’ in ovarian cancer cytoreduction
While pafolacianine promises to move us closer to a true “R0” (negative margins) resection of ovarian cancer, is this even a feasible goal in a...
Gynecologic Oncology Consult
Should gynecologists receive the HPV vaccine?
Concerns exist regarding occupational exposure to HPV by health care providers who perform smoke-generating procedures on HPV-infected tissues,...
Gynecologic Oncology Consult
Evaluating phantom hCG and low-level hCG elevations in the nonpregnant patient
Misdiagnosis and inappropriate treatment of benign, low-level hCG levels with unnecessary chemotherapy is problematic mismanagement of gestational...
Gynecologic Oncology Consult
Management of advanced endometrial cancer
Arguably more important than surgical interventions, access to molecularly targeted systemic therapy is likely to bring the best outcomes for...
Gynecologic Oncology Consult
Recommendations from a gynecologic oncologist to a general ob.gyn., part 2
While screening tests may not be appropriate for all patients, all patients should be asked about the early symptoms of ovarian cancer because...
Gynecologic Oncology Consult
Advice on biopsies, workups, and referrals
Over the next 2 months we will dedicate this column to some general tips and pearls from the perspective of a gynecologic oncologist to guide...
Gynecologic Oncology Consult
Decision making regarding LEEP versus cone biopsy for excision of cervical dysplasia
While both techniques are associated with equivalent efficacy in disease control, each has its virtues and advantages, and clinical judgment is...
Gynecologic Oncology Consult
Surgery for early-stage cervical cancer: Are we still too radical?
Radical vaginal or abdominal trachelectomy is associated with cancer recurrence rates of less than 5% and successful pregnancy in approximately...
Gynecologic Oncology Consult
The significance of mismatch repair deficiency in endometrial cancer
Endometrial cancers can be tested for MMR-d by performing immunohistochemistry to look for loss of expression in the four most common MMR genes,...