The Role of Laparoscopy in Endometrial Cancer
|
|
- Myron Malcolm Hood
- 8 years ago
- Views:
Transcription
1 The Role of Laparoscopy in Endometrial Cancer Prof. Dr. Tugan BEŞE İstanbul University, Cerrahpaşa Medical Faculty Gynecologic Oncology Department
2 Surgical staging in Endometrial Cancer
3 Laparoscopic surgery in Endometrial Cancer Surgery for primary treatment Surgery for staging in whom hysterectomy was performed before Childers and Survit were the first authors who used laparoscopy for the treatment of endometrial cancer in 1992
4
5 Limitations for laparoscopy Bulky uterus which can not be pulled out via vagina Pelvic Radiotherapy because of pnomoperitoneum and trandelenburg position, patients who has severe pulmoner and/or cardiac problems can not tolerate operation time
6 n: 30
7 Advantages of Laparoscopy Early discharge from the hospital can be applied for patients who has BMI > 35
8
9 The aim of this study was to investigate the relationship between same day discharge (SDD) and postoperative complications within 30 days of laparoscopic hysterectomy for endometrial cancer 696 patients underwent laparoscopic hysterectomy in period of 2 years. Of these, 37.1 % had pelvic lymphadenectomy, 3.0 % had para aortic lymphadenectomy.
10 The rate of SDD increased from 3.9 to 69.6 % during the study period (p<0.001)
11
12 Advantages of Laparoscopy Early discharge from the hospital can be applied for patients who has BMI >
13
14
15 Is Panniculectomy an alternative surgery for patients with BMI >35
16
17 Panniculectomy
18 Panniculectomy has a significantly higher postop. major complications Panniculectomy is an independent predictor for increased risk of postoperative major complications.
19
20
21
22
23
24
25 Laparatomy Laparoscopy Robotic
26 Laparatomy Laparoscopy Robotic
27
28
29
30
31 Recommendation Due to grade 3 EC and non endometrioid type cancer has an agressive behavior and poor prognosis, comprehensive surgery should be applied. who begin to use laparoscopic surgery in the near future, laparoscopic surgery for the patients with grade 3 EC and /or nonendometrioid type endometrial cancer, is better not to be used
32 The incidence of port side metastasis among patients with early-stage endometrial cancer is reported at 0.18% to 0.33% Port-site metastases after open laparoscopy: a study in 173 patients with advanced ovarian carcinoma. Thirty (17%) patients developed portsite metastases. However, only 8 (5%) of these portsite metastases were clinically diagnosed, while 22 out of 71 (31%) with complete portsiteexcision were diagnosed on pathologic examination. Int J Gynecol Cancer Sep-Oct;15(5):776-9
33
34 Randomized Trial of Laparoscopy vs. Laparotomy for Surgical Staging of Uterine Cancer GOG LAP2 Stage I IIa Laparosopy : 1696 Laparatomy:920 (886) Conversion to laparatomy : 434 ( 25.8%) Visualiation problems : 246 (14.6%) Metastatic cancer : 69 ( 4.1%) Bleeding : 49 ( 2.9%) Others : 70 (4.2%) Walker JL, J Clinical Oncology,2009
35 GOG LAP2 Intraoperative complications p>0.05 Postoperative complications (moderate severe) L/S: % 14 L/T: % 21 p< Operation time (min.) L/S: 204 L/T: 130 p<0.001 Hospital stay > 2 days L/S: % 52 L/T: %94 p< Walker JL, J Clinical Oncology,2009
36 GOG LAP2 Pelvic lymph node L/S: 17 L/T: 18 Paraaortic lymph node L/S: 7 L/T: 7 Walker JL, J Clinical Oncology,2009
37 Laparoscopy & Laparatomy Ghezzi F. 2009
38 Laparoscopy & Laparatomy Ghezzi F. 2009
39
40 Laparoscopy (n:87) Laparatomy (n:698) p value Cerrahpaşa Jinekolojik Onkoloji Age 56.6(38 72) 58.5(29 88) Menopozal durum Myometrial invasion Premenopoz (n:205) Postmenopoz (n:580) <1/2(n:505) >1/2(n:280) n (%) n (%) 17(19.6) 70(80.4) 66(75.9) 21(24.1) 188(26.9) 510(73.1) 439(62.9) 259(37.1) Grade I (n:377) II (n:299) III (n:109) 46(52.9) 34(39.1) 7(8.0) 331(47.4) 265(40.0) 102(12.6) Tumor diameter 2 cm (n:245) >2 cm (n:540) 30(34.5) 57(65.5) 215(30.8) 483(69.2) LVSI var (n:319) yok (n:466) 19(21.8) 68(78.2)) 300(43.0) 398(57.0) Hystologic type Endometrioid (n:751 ) Non endometrioid (n: 34) 82(94.3) 5(5.7) 669(95.8) 29(4.2) Lymphadenectomy Yes (n:617 ) No (n:168 ) 74(85) 13(15) 543(77.8) 155(22.2) Lymph node count 15.14± ± * Adjuvant Treatment No (n:367) Yes (n:418) 50(57.5) 37(42.5) 317(45.4) 381(54.6) Tumor recurrence Yes (n:73) No (n:650) 6(6.9) 81(83.1) 67(10.5) 569(89.5) 0.29
41 Conclusion Laparoscopic surgery has advantages such as ; less blood loss less hospital stay less intraoperative and postoperative complications in experienced hands less blood transfusion necessity relaps rate of laparoscopy is same as laparatomy However, operation time is slightly longer Laparascopic approach is feasible and safe in terms of gynecologic outcome. It can be used for endometrial cancer as a standart surgery.
42
43
44
45
46
47 Survival effect of paraaortic lymphadenectomy
RESEARCH ARTICLE. Abstract. Introduction. Materials and Methods
DOI:http://dx.doi.org/10.7314/APJCP.2015.16.13.5483 Perioperative and Oncologic Outcomes with Laparotomy, and Laparoscopic, and Robotic Surgery for Endometrial Cancer RESEARCH ARTICLE Comparison of Perioperative
More informationCarcinoma of the Cervix. Kathleen M. Schmeler, MD Associate Professor Department of Gynecologic Oncology
Carcinoma of the Cervix Kathleen M. Schmeler, MD Associate Professor Department of Gynecologic Oncology Cervical Cancer Treatment Treatment Microinvasive (Stage IA1): Simple (extrafascial) hysterectomy/cone
More informationINTERVENTIONAL PROCEDURES PROGRAMME
NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE INTERVENTIONAL PROCEDURES PROGRAMME Interventional procedure overview of radical laparoscopic hysterectomy for early stage cervical cancer Introduction This overview
More informationSentinel Lymph Node Mapping for Endometrial Cancer. Locke Uppendahl, MD Grand Rounds
Sentinel Lymph Node Mapping for Endometrial Cancer Locke Uppendahl, MD Grand Rounds Endometrial Cancer Most common gynecologic malignancy in US estimated 52,630 new cases in 2014 estimated 8,590 deaths
More informationSurgical Staging of Endometrial Cancer
Surgical Staging of Endometrial Cancer I. Endometrial Cancer Surgical Staging Overview Uterine cancer types: carcinomas type I and type II, sarcomas, carcinosarcomas Hysterectomy with BSO Surgical Staging
More informationFacing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery
Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery The Condition: Early Stage Gynecologic Cancer A variety of gynecologic
More informationRole of Robotic Surgery in Obese Women with Endometrial Cancer
Role of Robotic Surgery in Obese Women with Endometrial Cancer Anil Tailor Consultant Gynaecological Oncologist Royal Surrey County Hospital Guildford, Surrey, UK St Peters Hospital Chertsey, Surrey, UK
More informationTotal laparoscopic hysterectomy for endometrial cancer: patterns of recurrence and survival
Gynecologic Oncology 92 (2004) 789 793 www.elsevier.com/locate/ygyno Total laparoscopic hysterectomy for endometrial cancer: patterns of recurrence and survival Andreas Obermair, a,b, * Tom P. Manolitsas,
More informationHow To Compare The Effects Of A Hysterectomy And A Hysterectomy
A RANDOMIZED TRIAL COMPARING RADICAL HYSTERECTOMY AND PELVIC NODE DISSECTION VS SIMPLE HYSTERECTOMY AND PELVIC NODE DISSECTION IN PATIENTS WITH LOW RISK EARLY STAGE CERVICAL CANCER A Gynecologic Cancer
More informationDate: 06/06/2014 Our ref: 4496. I write in response to your request for information in relation to treatment for endometrial cancer in NHS Lothian.
Lothian NHS Board Waverley Gate 2-4 Waterloo Place Edinburgh EH1 3EG Telephone 0131 536 9000 Fax 0131 536 9088 www.nhslothian.scot.nhs.uk Date: 06/06/2014 Our ref: 4496 Enquiries to: Bryony Pillath Extension:
More informationHow To Perform Da Vinci Surgery
Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery The Condition: Early Stage Gynecologic Cancer A variety of gynecologic
More informationEvidence tabel Lokaal palliatieve behandelingen
Auteurs, jaartal Mate van bewijs Studie type Follow-up Populatie (incl. steekproef-grootte) Patienten kenmerken Interventie Controle Resultaten Conclusie Opmerkingen, commentaar Hartgrink, 2002 The Netherlands
More informationLaparoscopic treatment of endometrial cancer: feasibility and results
European Journal of Obstetrics & Gynecology and Reproductive Biology 124 (2006) 232 236 www.elsevier.com/locate/ejogrb Laparoscopic treatment of endometrial cancer: feasibility and results Eugenio Volpi,
More informationLaparoscopic hysterectomy with or without pelvic. lymphadenectomy or sampling in a high-risk series of
Laparoscopic hysterectomy with or without pelvic lymphadenectomy or sampling in a high-risk series of patients with endometrial cancer Susan F Willis Thomas EJ Ind * Desmond Barton Department of Gynaecological
More informationRadical Hysterectomy for Early Stage Cervical Cancer: Laparoscopy Versus Laparotomy
SCIENTIFIC PAPER Radical Hysterectomy for Early Stage Cervical Cancer: Laparoscopy Versus Laparotomy Sarah E. Taylor, MD, William C. McBee Jr., MD, Scott D. Richard, MD, Robert P. Edwards, MD ABSTRACT
More informationHow To Treat A Uterine Sarcoma
EVERYONE S GUIDE FOR CANCER THERAPY Malin Dollinger, MD, Ernest H. Rosenbaum, MD, Margaret Tempero, MD, and Sean Mulvihill, MD 4 th Edition 2001 Uterus: Uterine Sarcomas Jeffrey L. Stern, MD Uterine sarcomas
More informationOverview of Gynaecologic Cancer
Overview of Gynaecologic Cancer Stuart Salfinger Gynaecologic Oncologist St John of God Hospital King Edward Memorial Hospital Cervical Cancer Cervical Cancer Risk HPV Smoking?OCP Cervical Cancer Symptoms
More informationEvolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience
Original Article Evolution of radical hysterectomy for cervical cancer along the last two decades: single institution experience Claudia Arispe, Ana Isabel Pomares, Javier De Santiago, Ignacio Zapardiel
More informationThe Use of Minimally Invasive Surgery for Endometrial Cancer
Alternative approaches to traditional laparotomy such as minimally invasive surgery can diminish procedure-related morbidity and expedite recovery for patients with endometrial cancer. Marguerite Bride.
More informationFacing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer
Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer The Condition: Early Stage Gynecologic Cancer A wide variety of gynecologic cancers
More informationUnderstanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE
Understanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE Introduction This guide is designed to help you clarify and understand the decisions that need to be made about your care for the
More informationIs Total Laparoscopic Surgery for Endometrial Carcinoma at Risk of Local Recurrence? A Long-term Survival
Is Total Laparoscopic Surgery for Endometrial Carcinoma at Risk of Local Recurrence? A Long-term Survival RENATO SERACCHIOLI 1, STEFANO VENTUROLI 1, MICHELA CECCARINI 2, MARIANNA CANTARELLI 1, MARCELLO
More informationAdjuvant Therapy for Breast Cancer: Questions and Answers
CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Adjuvant Therapy for Breast
More informationClinical Practice Assessment Robotic surgery
Clinical Practice Assessment Robotic surgery Background: Surgery is by nature invasive. Efforts have been made over time to reduce complications and the trauma inherently associated with surgery through
More information9/26/14. Joel E. Rand, MPAS, PA-C DMU Luncheon May 1, 2014
Joel E. Rand, MPAS, PA-C DMU Luncheon May 1, 2014 No financial relationship or commercial interest in any of the technologies discussed Not supporting any non-fda off label uses of any product or service
More informationPRIMARY TREATMENT CLINICAL PRESENTATION INITIAL EVALUATION. Conclude procedure with/without lymph node dissection
INITIAL EVALUATION History and Physical CXR Pathology review 1 Labs Consider CA125, and pre-operative imaging of abdomen and pelvis Screen for Lynch Syndrome by family history or molecular testing CLINICAL
More informationRobotic versus total laparoscopic radical hysterectomy with pelvic lymphadenectomy for the treatment of early cervical cancer
International Journal of Reproduction, Contraception, Obstetrics and Gynecology Goud JG et al. Int J Reprod Contracept Obstet Gynecol. 2014 Mar;3(1):34-39 www.ijrcog.org pissn 2320-1770 eissn 2320-1789
More informationEndometrial Cancer Treatment
Endometrial Cancer Treatment January 2006 By Shelly Smits, RHIT, CCS, CTR mary by Ian Thompson, MD Data Source: Cancer registry information on uterine cancer diagnosed 1/1/2000 to 12/31/2004. Reason for
More informationEndometrial cancer-carcinoma of the lining of the uterus-is the most common gynecologic
EVERYONE S GUIDE FOR CANCER THERAPY Malin Dollinger, MD, Ernest H. Rosenbaum, MD, Margaret Tempero, MD, and Sean Mulvihill, MD 4th Edition 2001 Uterus: Endometrial Carcinoma Jeffrey L. Stern, MD Endometrial
More informationFrequently Asked Questions About Ovarian Cancer
Media Contact: Gerri Gomez Howard Cell: 303-748-3933 gerri@gomezhowardgroup.com Frequently Asked Questions About Ovarian Cancer What is ovarian cancer? Ovarian cancer is a cancer that forms in tissues
More informationSCAN Gynaecological Group. Clinical Management Protocols: Cancer of the Cervix. www.scan.scot.nhs.uk
SE Scotland Cancer Network SCAN Gynaecological Group Clinical Management Protocols: Cancer of the Cervix www.scan.scot.nhs.uk Table of contents 3 Introduction 4 Diagnosis 5-6 Staging and spread of disease
More informationThe role of vaginal hysterectomy in the treatment of endometrial carcinoma
Int J Gynecol Cancer 1994, 4, 342-347 The role of vaginal hysterectomy in the treatment of endometrial carcinoma R. J. LELLI~*, G. W. MORLEY* & W. A. PETERS ~ *Department of Obstetrics and Gynecology,
More informationDA VINCI ROBOTIC HYSTERECTOMY
DA VINCI ROBOTIC HYSTERECTOMY Until recently, surgery for most gynecologic conditions was performed using a large abdominal incision. This is because while conventional laparoscopic surgery is effective
More informationHow To Treat Cervical Cancer
Total Laparoscopic Radical Hysterectomy in Cervical Cancer K Jardon, B. Rabischong, M, Canis, R Botchorishvili, C. Pomel, A. Wattiez, J.L Pouly G. Le Bouedec, J.L Achard, J. Dauplat, Mage G Polyclinique
More informationInvasive Cervical Cancer. Kathleen M. Schmeler, MD Associate Professor Department of Gynecologic Oncology
Invasive Cervical Cancer Kathleen M. Schmeler, MD Associate Professor Department of Gynecologic Oncology Cervical Cancer Etiology Human Papilloma Virus (HPV): Detected in 99.7% of cervical cancers Cancer
More informationSafe and Effective Surgery for Endometriosis Including Detection and Intervention for Ovarian Cancer
Safe and Effective Surgery for Endometriosis Including Detection and Intervention for Ovarian Cancer Camran Nezhat,, MD, FACOG, FACS Stanford University Medical Center Center for Special Minimally Invasive
More informationLaparoscopy versus Laparotomy for primary surgical management of endometrial cancer
Laparoscopy versus Laparotomy for primary surgical management of endometrial cancer Dr. Maria Anna Sabelli Consultant Gynecologist Milano Italy P.O. Box 20154 Milano Milano 20154 Italy Project submitted
More informationLaparoscopic Pelvic Surgery for Endometrial Cancer
130 Laparoscopic Pelvic Surgery for Endometrial Cancer Eng-Hseon Tay Original Article Laparoscopic Pelvic Surgery for Endometrial Cancer Eng-Hseon Tay, 1 FRCOG (UK), MMed (O & G), DGO (RANZCOG) Abstract
More informationHysterectomy. What is a hysterectomy? Why is hysterectomy done? Are there alternatives to hysterectomy?
ROBERT LEVITT, MD JESSICA BERGER-WEISS, MD ADRIENNE POTTS, MD HARTAJ POWELL, MD, MPH COURTNEY LEVENSON, MD LAUREN BURNS, MSN, RN, WHNP OBGYNCWC.COM What is a hysterectomy? Hysterectomy Hysterectomy is
More informationOvarian cancer. A guide for journalists on ovarian cancer and its treatment
Ovarian cancer A guide for journalists on ovarian cancer and its treatment Contents Contents 2 3 Section 1: Ovarian Cancer 4 i. Types of ovarian cancer 4 ii. Causes and risk factors 5 iii. Symptoms and
More informationIt has been almost 16 years since Childers et al 1,2
A Multiinstitutional Experience With Robotic-Assisted Hysterectomy With Staging for Endometrial Cancer M. Patrick Lowe, MD, Peter R. Johnson, MD, Scott A. Kamelle, MD, Saurabh Kumar, MD, Donald H. Chamberlain,
More informationThe percentage of women 21-64 years of age who received one or more Pap tests to screen for cervical cancer.
Measure Name: Cervical Cancer Screen Owner: NCQA (CCS) Measure Code: CER Lab Data: Y Rule Description: General Criteria Summary The percentage of women 21-64 years of age who received one or more Pap tests
More informationUterus myomatosus. 10-May-15. Clinical presentation. Incidence. Causes? 3 out of 4 women. Growth rate vary. Most common solid pelvic tumor in women
Uterus myomatosus A.J. Henriquez March 14, 2015 Uterus myomatosus Definition, incidence, clinical presentation and diagnosis. New FIGO classification for uterine leiomyomas Brief description on treatment
More informationPerioperative Outcomes in Robotic-Assisted Versus Conventional Laparoscopic Treatment of Endometrial Cancer
Research Article imedpub Journals http://www.imedpub.com/ Journal of Adenocarcinoma 206 Vol. No. :6 Perioperative Outcomes in Robotic-Assisted Versus Conventional Laparoscopic Treatment of Endometrial
More informationLaparoscopic Assisted Vaginal Hysterectomy
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at ChiaYi 嘉 義 長 庚 紀 念 醫 院 婦 產 科 Clinical Guideline Laparoscopic Assisted Vaginal Hysterectomy By Dr. CJ Tseng Laparoscopic assisted
More informationNursing Care of the Patient Receiving Brachytherapy for Gynecologic Cancer
Nursing Care of the Patient Receiving Brachytherapy for Gynecologic Cancer Una Randall, RN, BSN, OCN Dana Farber / Brigham and Women s Cancer Center Department of Radiation Oncology Una Randall is not
More informationThe Adnexal Mass and Early Ovarian Cancer
The Adnexal Mass and Early Ovarian Cancer Fred Ueland, MD University of Kentucky Gynecologic Oncology Never give in. Never give in. Never, never, never, never- in nothing great or small, large or petty-
More informationKidney Cancer OVERVIEW
Kidney Cancer OVERVIEW Kidney cancer is the third most common genitourinary cancer in adults. There are approximately 54,000 new cancer cases each year in the United States, and the incidence of kidney
More informationSumma Health System. A Woman s Guide to Hysterectomy
Summa Health System A Woman s Guide to Hysterectomy Hysterectomy A hysterectomy is a surgical procedure to remove a woman s uterus (womb). The uterus is the organ which shelters and nourishes a baby during
More informationReview Article Robot-Assisted Radical Hysterectomy for Cervical Cancer: Review of Surgical and Oncological Outcomes
International Scholarly Research Network ISRN Obstetrics and Gynecology Volume 2011, Article ID 872434, 6 pages doi:10.5402/2011/872434 Review Article Robot-Assisted Radical Hysterectomy for Cervical Cancer:
More informationMetastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy
Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy Sarah Hutto,, MSIV Marc Underhill, M.D. January 27, 2009 Past History 45 yo female
More information2 Laparoscopic hysterectomy in endometrial cancer
Laparoscopic hysterectomy in endometrial cancer .1 Total laparoscopic hysterectomy versus abdominal hysterectomy in the treatment of patients with early stage endometrial cancer: A randomized multi center
More informationEndometrial Cancer. GYNE/ONC Practice Guideline. Approval Date: February 2011 V2.3 converted file format
Endometrial Cancer GYNE/ONC Practice Guideline Approval Date: February 2011 V2.3 converted file format This guideline is a statement of consensus of the Gynecologic Oncology Disease Site Team regarding
More informationThese rare variants often act aggressively and may respond differently to therapy than the more common prostate adenocarcinoma.
Prostate Cancer OVERVIEW Prostate cancer is the second most common cancer diagnosed among American men, accounting for nearly 200,000 new cancer cases in the United States each year. Greater than 65% of
More informationTotal Laparoscopic Hysterectomy Versus Total Abdominal Hysterectomy for Endometrial Cancer: A Meta-analysis
DOI:http://dx.doi.org/0.734/APJCP.203.4.4.255 RESEARCH ARTICLE Total Laparoscopic Hysterectomy Versus Total Abdominal Hysterectomy for Endometrial Cancer: A Meta-analysis Hui-Ling Wang, Yan-Fang Ren *,
More informationStomach (Gastric) Cancer. Prof. M K Mahajan ACDT & RC Bathinda
Stomach (Gastric) Cancer Prof. M K Mahajan ACDT & RC Bathinda Gastric Cancer Role of Radiation Layers of the Stomach Mucosa Submucosa Muscularis Serosa Stomach and Regional Lymph Nodes Stomach and Regional
More informationLuis D. Carcorze Soto, MD PGY-3
Luis D. Carcorze Soto, MD PGY-3 Peritoneal Surface Malignancies Peritoneum Patient Selection Operative Technique HIPEC EPIC Primary: Primary Peritoneal Carcinoma Malignant Peritoneal Mesothelioma Metastatic:
More informationRe irradiation Using HDR Interstitial Brachytherapy for Locally Recurrent. Disclosure
Re irradiation Using HDR Interstitial Brachytherapy for Locally Recurrent Cervical lcancer Yasuo Yoshioka, MD Department of Radiation Oncology Osaka University Graduate School of Medicine Osaka, Japan
More informationOutcome of Early Cervical Carcinoma Treated by Wertheim Hysterectomy with Selective Postoperative Radiotherapy
ORIGINAL ARTICLES 613 Outcome of Early Cervical Carcinoma Treated by Wertheim Hysterectomy with Selective Postoperative Radiotherapy S K Tay,*FAMS, MD, FRCOG, L K Tan,**MBBS, M Med (O & G), MRCOG Abstract
More informationda Vinci Prostatectomy Information Guide (Robotically-Assisted Radical Prostatectomy)
da Vinci Prostatectomy Information Guide (Robotically-Assisted Radical Prostatectomy) Prostate Cancer Overview Prostate cancer is a disease in which malignant (cancer) cells form in the tissues of the
More informationConsidering Endometriosis Surgery? Learn about minimally invasive da Vinci Surgery
Considering Endometriosis Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Endometriosis Endometriosis is a condition in which the tissue that lines your uterus (the endometrium)
More informationEndoscopic Surgical Procedures for Cervical Cancer Treatment: A Literature Review
Endoscopic Surgical Procedures for Cervical Cancer Treatment: A Literature Review Andrea Tinelli, Antonio Perrone Department of Obstetrics and Gynaecology Vito Fazzi Hospital, Lecce, Italy Sarah Gustapane,
More informationPhysician. Patient HYSTERECTOMY HYSTERECTOMY. Treatment Options Risks and Benefits Experience and Skill
HYSTERECTOMY Physician Treatment Options Risks and Benefits Experience and Skill Patient Personal Preferences Values and Concerns Lifestyle Choices HYSTERECTOMY Shared Decision Making A process of open
More informationConsidering a Hysterectomy?
Considering a Hysterectomy? Learn more about virtually scarless surgery using da Vinci Single-Site technology { {Symptoms & Conditions: Chronic Pain, Heavy Bleeding, Fibroids, Endometriosis, Adenomyosis,
More information10 TREATMENT OF ENDOMETRIAL CANCER
10 TREATMENT OF ENDOMETRIAL CANCER Lois M. Ramondetta, Thomas W. Burke, Russell Broaddus, and Anuja Jhingran Chapter Outline Chapter Overview.......................................... 148 Introduction...............................................
More informationWhat is neuroendocrine cervical cancer?
Key Points: 1. Neuroendocrine cancer of the uterine cervix is a rare and aggressive disease. 2. Treatment for neuroendocrine cervical cancer is usually more intensive than that for most other types of
More informationThe main surgical options for treating early stage cervical cancer are:
INFORMATION LEAFLET ON TOTAL LAPAROSCOPIC RADICAL HYSTERECTOMY (TLRH) FOR EARLY STAGE CERVICAL CANCER (TREATING EARLY STAGE CERVICAL CANCER BY RADICAL HYSTERECTOMY THROUGH KEYHOLE SURGERY) Aim of the leaflet
More informationNEOPLASMS OF KIDNEY (RENAL CELL CARCINOMA) And RENAL PELVIS (TRANSITIONAL CELL CARCINOMA)
NEOPLASMS OF KIDNEY (RENAL CELL CARCINOMA) And RENAL PELVIS (TRANSITIONAL CELL CARCINOMA) Merat Esfahani, MD Medical Oncologist, Hematologist Cancer Liaison Physician SwedishAmerican Regional Cancer Center
More informationHysterectomy. The time to take care of yourself
Hysterectomy The time to take care of yourself The time to take care of yourself Women spend a lot of time taking care of others spouses, children, parents. We often overlook our own needs. But when our
More informationWomen s Health Laparoscopy Information for patients
Women s Health Laparoscopy Information for patients This leaflet is for women who have been advised to have a laparoscopy. It outlines the common reasons doctors recommend this operation, what will happen
More informationRobotic-Assisted Surgery in Gynecological Oncology
The use of robotic-assisted surgery is rapidly expanding into the field of gynecological oncology. Sofía Cáceres Nazario. Red Dahlia, 2015 (Detail). Acrylic on canvas, 16" 12". Robotic-Assisted Surgery
More informationMonthly palliative pelvic radiotherapy in advanced carcinoma of uterine cervix
Original Article Free full text available from www.cancerjournal.net Monthly palliative pelvic radiotherapy in advanced carcinoma of uterine cervix Mishra Sanjib K, Laskar Siddhartha, Muckaden Mary Ann,
More informationCommon Surgical Procedures Gyn/Oncology
Malignancy Description Codes wrvu Comments Cervical Typical Open Cone biopsy 57520 4.11 Leep conization 57522 3.67 Colposcopy/Leep 57461 3.43 TAH +/- BSO 58150 17.31 Radical hysterectomy +/- BSO (Total,
More informationBreast Cancer Treatment Guidelines
Breast Cancer Treatment Guidelines DCIS Stage 0 TisN0M0 Tamoxifen for 5 years for patients with ER positive tumors treated with: -Breast conservative therapy (lumpectomy) and radiation therapy -Excision
More informationAdiuwantowe i neoadiuwantowe leczenie chorych na zaawansowanego raka żołądka
Adiuwantowe i neoadiuwantowe leczenie chorych na zaawansowanego raka żołądka Neoadiuvant and adiuvant therapy for advanced gastric cancer Franco Roviello, IT Neoadjuvant and adjuvant therapy for advanced
More informationGuidelines for Management of Renal Cancer
Guidelines for Management of Renal Cancer Date Approved by Network Governance July 2012 Date for Review July 2015 Changes Between Versions 2 and 3 Section 5 updated bullets 5.3 and 5.4 Section 6 updated
More informationLung Cancer Treatment Guidelines
Updated June 2014 Derived and updated by consensus of members of the Providence Thoracic Oncology Program with the aid of evidence-based National Comprehensive Cancer Network (NCCN) national guidelines,
More informationHow to treat early gastric cancer. Surgery
How to treat early gastric cancer Surgery Mark I. van Berge Henegouwen Department of Surgery, AMC, Amsterdam Director upper GI surgical unit Academic Medical Center Upper GI surgery at AMC 100 oesophagectomies
More informationHow TARGIT Intra-operative Radiotherapy can help Older Patients with Breast cancer
How TARGIT Intra-operative Radiotherapy can help Older Patients with Breast cancer Jeffrey S Tobias, Jayant S Vaidya, Frederik Wenz and Michael Baum, University College Hospital, London, UK - on behalf
More informationAn Intergroup trial of the Dutch Cooperative Gynecologic Oncology Group and the UK National Cancer Research Institute
Randomized Phase III Trial Comparing Concurrent Chemoradiation and Adjuvant Chemotherapy with Pelvic Radiation Alone in High Risk and Advanced Stage Endometrial Carcinoma: PORTEC-3 An Intergroup trial
More informationPRESENTATION OF NOVEL GYNECOLOGIC ONCOLOGY PROCEDURES M.D. ANDERSON CANCER CENTER, UNIVERSITY OF TEXAS November 15, 2006
PRESENTATION OF NOVEL GYNECOLOGIC ONCOLOGY PROCEDURES M.D. ANDERSON CANCER CENTER, UNIVERSITY OF TEXAS November 15, 2006 00:00:11 ANNOUNCER: This program is made possible through an educational grant from
More informationRadical Trachelectomy: A Fertility-Sparing Option for Early Invasive Cervical Cancer
REVIEWS IMAJ VOL 14 may 2012 Radical Trachelectomy: A Fertility-Sparing Option for Early Invasive Cervical Cancer Javier Mejia-Gomez MD, Tomer Feigenber MD, Sagit Arbel-Alon MD, Liron Kogan MD and Abraham
More informationNo Costly Hospital Stays. No Unsightly Incisions. Far Faster, Less Painful Recovery.
No Costly Hospital Stays. No Unsightly Incisions. Far Faster, Less Painful Recovery. No Costly Hospital Stays. No Unsightly Incisions. Far Faster, Less Painful Recovery. Welcome to the Georgia Advanced
More informationSeton Medical Center Hepatocellular Carcinoma Patterns of Care Study Rate of Treatment with Chemoembolization 2007 2012 N = 50
General Data Seton Medical Center Hepatocellular Carcinoma Patterns of Care Study Rate of Treatment with Chemoembolization 2007 2012 N = 50 The vast majority of the patients in this study were diagnosed
More informationFollow-Up Care for Endometrial (Uterus) Cancer after Discharge from the Cancer Center
Follow-Up Care for Endometrial (Uterus) Cancer after Discharge from the Cancer Center Disclaimer This is general information developed by The Ottawa Hospital. It is not intended to replace the advice of
More informationEndometrial cancer in patients with preoperative diagnosis of atypical endometrial hyperplasia
European Journal of Obstetrics & Gynecology and Reproductive Biology 122 (2005) 107 111 www.elsevier.com/locate/ejogrb Endometrial cancer in patients with preoperative diagnosis of atypical endometrial
More informationDoes my patient need more therapy after prostate cancer surgery?
Does my patient need more therapy after prostate cancer surgery? Contact the GenomeDx Patient Care Team at: 1.888.792.1601 (toll-free) or e-mail: client.service@genomedx.com Prostate Cancer Classifier
More informationPANCREATIC AND PERIAMPULLARY TUMORS: PANCREATICODUODENECTOMY. Dr. Shailesh V. Shrikhande
PANCREATIC AND PERIAMPULLARY TUMORS: PANCREATICODUODENECTOMY Dr. Shailesh V. Shrikhande Associate Professor & Consultant Surgeon GI and HPB Surgical Oncology Tata Memorial Hospital, Mumbai INDIA HELICAL
More informationProcedure Based Coding
Procedure Based Coding Jon K. Hathaway Objectives Review Global definition Review common modifiers Procedure plus E&M codes 2013 MSACOG Snow Meeting 1 Vacuum assisted Vaginal Delivery was first reported
More informationWhat is endometrial cancer?
Endometrial Cancer What is endometrial cancer? Let us explain it to you. www.anticancerfund.org www.esmo.org ESMO/ACF Patient Guide Series based on the ESMO Clinical Practice Guidelines ENDOMETRIAL CANCER:
More informationYu-Li Lin 1, Tien-Jye Chang 2
Formos J Surg 009;4:6-67 6 Original Articles Effect of a Pediatric Surgeon on Pediatric Inguinal Hernia Repair --- Evaluation of the Importance of Surgeons with Subspecialty Training by a Single-Hospital
More informationBridging Techniques. What s between EMR and Traditional Surgery? Elisabeth C. McLemore, MD, FACS, FASCRS
Bridging Techniques What s between EMR and Traditional Surgery? Elisabeth C. McLemore, MD, FACS, FASCRS Associate Professor of Surgery Assistant Program Director, General Surgery Residency Disclosures
More informationA Practical Guide to Advances in Staging and Treatment of NSCLC
A Practical Guide to Advances in Staging and Treatment of NSCLC Robert J. Korst, M.D. Director, Thoracic Surgery Medical Director, The Blumenthal Cancer Center The Valley Hospital Objectives Revised staging
More informationEndometrial Cancer. Measurability of Quality Performance Indicators Version 2.0
Endometrial Cancer Measurability of Quality Performance Indicators Version 2.0 To be read in conjunction with: Endometrial Cancer QPIs Final Publication v2 Endometrial QPI Dataset (latest published version)
More informationCarcinoma of the vagina is a relatively uncommon disease, affecting only about 2,000 women in
EVERYONE S GUIDE FOR CANCER THERAPY Malin Dollinger, MD, Ernest H. Rosenbaum, MD, Margaret Tempero, MD, and Sean Mulvihill, MD 4 th Edition, 2001 Vagina Jeffrey L. Stern, MD Carcinoma of the vagina is
More informationRotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma
Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma Medical Expert: Breast Rotation Specific Competencies/Objectives 1.0 Medical History
More informationTreatment Guidelines. Gynaecology SELCN. June 2012
Treatment Guidelines Gynaecology SELCN June 2012 SELCN Treatment Guidelines - Agreement Sheet The Gynaecology SELCN Treatment Guidelines have been agreed by: Position MDT Lead Clinician (on behalf of MDT
More informationCancer of the Cardia/GE Junction: Surgical Options
Cancer of the Cardia/GE Junction: Surgical Options Michael A Smith, MD Associate Chief Thoracic Surgery Center for Thoracic Disease St Joseph s Hospital and Medical Center Phoenix, AZ Michael Smith, MD
More informationCan radical parametrectomy be omitted in occult cervical cancer after extrafascial hysterectomy?
DOI 10.1186/s40880-015-0041-7 CASE RESEARCH Open Access Can radical parametrectomy be omitted in occult cervical cancer after extrafascial hysterectomy? Huai Wu Lu, Jing Li, Yun Yun Liu, Chang Hao Liu,
More information!"#$"%&'()*#+,'(-./0(1234()',5(!**+'%( 367361234(
THE TUMULTUOUS MARRIAGE OF MORCELLATION AND MIS; CAN OR SHOULD THIS RELATIONSHIP BE SAVED? Julian C. Schink MD Chief of Women s Health Spectrum Health Medical Group Grand Rapids, MI Disclosure! I have
More information