Cancer Obstetrics and Gynecology

Author: Edward L. Trimble
Published: July 1999
Publisher: Lippincott Williams & Wilkins
ISBN: 0781714109
Hardcover Book
Number of Pages: 274

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The gynecological and obstetrical questions faced by women during and after treatment for cancer are addressed in this book. The editors also give a short overview of the treatment recommended for the most frequent malignancies in pregnancy. The main focus is the management of gynecologic and obstetric issues in cancer patients and cancer survivors. Also, gynecological and obstetrical issues associated with some specific cancers are addressed. Most of the information in this book can be found in other publications. However, this is the only survey with a focus on gynecologic issues, which saves the gynecologist the review of a large body of literature. The editors' objectives are fully met. The editors advocate a multidisciplinary approach to cancer care. This book is written for the general gynecologist, but also for all other physicians treating women with cancer. Valuable information is provided for the general practitioner who will have to counsel the patient when cancer is initially diagnosed and who will participate in the long-term follow-up of patients after cancer treatment. The principal editor is a well known gynecologic oncologist with a strong research background, including public health issues. He is also a practicing gynecologic oncologist, so he is very familiar with the daily problems with which his patients have to cope. Ovulation, menstruation, and contraception in patients with cancer are discussed, as well as fertility issues after cancer therapy. A useful chapter is presented about hormone replacement therapy. Sexuality issues during and after cancer treatment are discussed, as well as genital/urinary problems. In addition, there is an overview of the treatment ofsome frequent cancers during pregnancy, such as breast cancer, cervical cancer, leukemia, lymphoma, or adnexal masses. The chapters are carefully written and are the result of an extensive literature survey. Summaries at the end of each chapter help to distill the most important factors. In all chapters, there is a focus on clinical usefulness. Tables are appropriate and the few algorithms included are very valuable. In some chapters such as the paragraph on fertility, too much space is given to a routine overview of fertility treatment options. This is a very valuable book for all physicians treating women touched by cancer. It is a good overview of the literature, with sound clinical advice. Although there are many books about gynecologic oncology, this publication has a different focus. Another book, Kavanagh's Cancer in Women (Blackwell Science, 1998), is focused more on the diagnosis and treatment of the most frequent cancers in women, but the issues in pregnancy are not covered, nor is the management of the cancer survivor. In a dozen papers, expert contributors from mainly east coast institutions (e.g., Johns Hopkins U. School of Medicine, U. of Michigan, and the Cleveland Clinic Foundation) address how a diagnosis of cancer, its various types of neoplasms, and treatment options affect women's ongoing reproductive health issues: from menstruation and fertility to pregnancy and menopause. Such a life-impacting disease gets its deserved multidisciplinary perspective from authors who represent the disciplines of psychology, internal medicine, reproductive endocrinology, and maternal-fetal health as well as oncology's various specialties. Trimble, Edward L., MD, MPH (Johns Hopkins Univ); Trimble, Cornelia Liu, MD (Johns Hopkins Univ)

Table of Contents
Contributing Authors
Preface
1 Ovulation, Menstruation, and Contraception in the Cancer Patient 1
2 Sexuality for the Woman with Cancer 21
3 Hormone Therapy, Menopause, and Malignancy 33
4 Fertility After Cancer Treatment 53
5 Childbearing After Cancer Treatment 87
6 Genitourinary Disease in Women with Cancer 99
7 Breast Cancer: Gynecologic, Reproductive, and Hormonal Issues 133
8 Cervical Cancer in Pregnancy 157
9 Leukemia in Pregnancy 177
10 Lymphoma in Pregnancy 209
11 Adnexal Masses and Ovarian Cancer in Pregnancy 239
12 Other Cancers in Pregnancy 249
Subject Index 261

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