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Palliative Care Consultations in Gynaeoncology$
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Sara Booth, Eduardo Bruera, and Teresa Tate

Print publication date: 2004

Print ISBN-13: 9780198528067

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780198528067.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 January 2021

The assessment and management of advanced cancer of the cervix

The assessment and management of advanced cancer of the cervix

Chapter 1 The assessment and management of advanced cancer of the cervix
Palliative Care Consultations in Gynaeoncology

Claire Versehraegen

Harriet O. Smith

Luis Padilla-paz

Sri G. Gorty

Ben Liem

Evelyne Loyer

Harmeet Kaur

Oxford University Press

Across the world, carcinoma of the uterine cervix is one of the most common malignancies in women, and one of the most common causes of morbidity and mortality. In spite of the availability of cervical cytologic screening, many women do not have Papanicolau (PAP) smears after childbearing and up to 30 per cent of cases develop despite good preventive surveillance. Because cervical cancer is associated with HPV infection acquired during the younger years through sexual contact, many of the patients with cervical cancer tend to be younger. This chapter focuses on the management and assessment of advanced cancer of the cervix. Among the most significant advancement in the treatment of cervical cancer is the introduction of platinum-based chemotherapy during pelvic radiation therapy. This method prolongs survival of the patients and reduces risk of recurrence by 30 to 50 per cent. Discussed in the chapter are the patterns of failure of primary treatment that lead to complications and recurrence; distant failure, which results in lymphatic spread and metastases; and emotional support for the patients.

Keywords:   carcinoma, uterine cervix, malignancies, cervical cytologic screening, Papanicolau smears, PAP smears, cervical cancer, HPV infection, cervix

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