By J. Richard Smith, Giuseppe Del Priore, Robert L. Coleman, John M. Monaghan, John Curtin
(Martin Dunitz) long island Univ., big apple urban. Atlas for postgraduates excited by the surgical administration of gynecological malignancy. encompasses a complete description of nearly all of investigative and surgeries required of the gynecological oncologist. supplies transparent written and pictorial guide. contains colour hand-drawn illustrations and images.
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Additional resources for An atlas of gynecologic oncology
Tube thoracostomy and thoracentesis require recognition of the location of the inferior scapula at the seventh and eighth ribs. Finally, although the soft tissue dimensions of the patient are important, the truly 20 ANATOMY Figure 9 1 2 3 4 5 6 Adductor longus groove Sartorius muscle groove Inguinal ligament Anterior superior iliac spine Level of L4/L5 vertebral bodies 7 8 Seventh rib limiting factor for most patients is the bony confines of the operative field. For instance, a large patient may have a wide and shallow pelvis, making her an acceptable candidate for a radical hysterectomy.
The most significant finding is that in women with ovarian cancer, no single agent or combination has emerged as having a clear clinical advantage over CA125, except in specific tumour subtypes such as germcell tumours with yolk sac or chorionic elements and granulosa cell tumours (Table 2). Endometrial cancers There are no serum tumour markers with a well-established role in clinical management of endometrial cancer. Serum CA125 levels are elevated in 10–27% of patients with endometrial carcinoma (Patsner et al 1990, Takeshima et al 1994, Hakala et al 1995).
Improvements to the sensitivity of CA125 assay in screening have been achieved by the development of an algorithm which incorporates both the absolute level and rate of rise of CA125 with time (Skates et al 1995, Skates et al 1996). The results of screening studies currently in progress in the UK and in the USA may finally answer the question of the impact of early intervention on ovarian cancer mortality in the general population. In women with strong evidence of a hereditary predisposition to ovarian cancer, screening using serum CA125 and ultrasound is frequently advocated.
An atlas of gynecologic oncology by J. Richard Smith, Giuseppe Del Priore, Robert L. Coleman, John M. Monaghan, John Curtin